Divya Agrawal, | |
1695 Main St, Chipley, FL 32428-5992 | |
(850) 638-3387 | |
Not Available |
Full Name | Divya Agrawal |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 1695 Main St, Chipley, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952823247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT32377 (Florida) | Secondary |
225100000X | Physical Therapist | 070024389 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletic And Therapeutic Institute Of Bourbonnais, Llc | 4183692577 | 143 |
Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
Mailing Address | Practice Location Address |
---|---|
Divya Agrawal, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Divya Agrawal, 1695 Main St, Chipley, FL 32428-5992 Ph: (850) 638-3387 |
Debra M Grande, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217 | |
Freddie A Kolmetz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 877 3rd St, Suite 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217 | |
Burl Edwin Carroll Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St Ste 3a, Chipley, FL 32428 Phone: 850-638-3387 | |
Absolute Physical & Aquatic Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967 | |
Mrs. Taniazehra I Momin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1695 Main St, Chipley, FL 32428 Phone: 850-638-3387 | |
Northwest Floriday Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447 | |
Mrs. Ariel Jessica White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967 |