Dr Kelly Marie Moore, PT, DPT | |
2401 Research Blvd Ste 109, Rockville, MD 20850-3215 | |
(301) 657-5650 | |
(301) 657-5651 |
Full Name | Dr Kelly Marie Moore |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2401 Research Blvd Ste 109, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477205532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1355785 (Texas) | Primary |
Provider Name | Integrated Rehabilitation Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Marie Moore, PT, DPT 13313 Guarnere Dr, Del Valle, TX 78617-3083 Ph: (512) 552-1463 | Dr Kelly Marie Moore, PT, DPT 2401 Research Blvd Ste 109, Rockville, MD 20850-3215 Ph: (301) 657-5650 |
Kelly Marie Hanns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6208 Montrose Road, Rockville, MD 20852 Phone: 301-468-9343 | |
Samuel Noah Herbst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1071 Seven Locks Rd, Rockville, MD 20854 Phone: 301-515-0900 Fax: 240-912-2381 | |
Katherine Ortlieb Tiffey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 818 Carter Rd, Rockville, MD 20852 Phone: 202-257-4192 | |
Anjana Viswanathan, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 192 Halpine Rd Ste D, Rockville, MD 20852 Phone: 240-514-2400 Fax: 301-816-6968 | |
Alexis Ayomi Afamefune, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Gude Dr, Rockville, MD 20850 Phone: 240-614-2800 | |
Mrs. Elham Tehranchi, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9909 Medical Center Drive, Rockville, MD 20850 Phone: 240-864-6000 Fax: 240-864-6049 | |
Mr. Pavlos Gkikas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4960 Boiling Brook Pkwy, Rockville, MD 20852 Phone: 410-989-3833 |