Dilina Viran Weerapperuma Desilva, PT | |
4140 Ferncreek Dr Ste 801, Fayetteville, NC 28314-2572 | |
(910) 710-5051 | |
(910) 223-6233 |
Full Name | Dilina Viran Weerapperuma Desilva |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4140 Ferncreek Dr Ste 801, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316626013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13281 (Minnesota) | Secondary |
225100000X | Physical Therapist | P23616 (North Carolina) | Primary |
Provider Name | Mayo Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
---|---|
Dilina Viran Weerapperuma Desilva, PT 4140 Ferncreek Dr Ste 801, Fayetteville, NC 28314-2572 Ph: (910) 710-5051 | Dilina Viran Weerapperuma Desilva, PT 4140 Ferncreek Dr Ste 801, Fayetteville, NC 28314-2572 Ph: (910) 710-5051 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Owen Dr, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 |