Evidencept | |
12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | |
(301) 352-8370 | |
(301) 352-8372 |
Full Name | Evidencept |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 12150 Annapolis Rd Ste 201, Glenn Dale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831493030 | NPI | - | NPPES |
616235300 | Other | WORKERS COMPENSATION NUMBER | |
045308100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 21846 (Maryland) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Meghan S Mahar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033264528 PECOS PAC ID: 5092737361 Enrollment ID: I20051229000787 |
Provider Name | Emmanuel O Moses |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588742514 PECOS PAC ID: 9931385135 Enrollment ID: I20110524000797 |
Provider Name | Karen G Peralta |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770710881 PECOS PAC ID: 1557591104 Enrollment ID: I20140228000078 |
Provider Name | Joann U Teh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336556281 PECOS PAC ID: 4284854662 Enrollment ID: I20141007001205 |
Provider Name | Rashada Thompson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770951923 PECOS PAC ID: 6103134051 Enrollment ID: I20150928000069 |
Provider Name | Avan M Raimalwala |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831590561 PECOS PAC ID: 8426374687 Enrollment ID: I20161104000858 |
Provider Name | Lisa Jordan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194069237 PECOS PAC ID: 6103061122 Enrollment ID: I20170404001131 |
Provider Name | Neha Rajesh Prajapati |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962984161 PECOS PAC ID: 8729331707 Enrollment ID: I20181020000383 |
Provider Name | Shital Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962044503 PECOS PAC ID: 2264865054 Enrollment ID: I20191210000139 |
Provider Name | Patricia Marie Orrence Reynolds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710504212 PECOS PAC ID: 3476977737 Enrollment ID: I20200720001346 |
Provider Name | Sangeeta Maharjan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356953103 PECOS PAC ID: 4284054479 Enrollment ID: I20201008001615 |
Provider Name | Enoh Okodiko |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699388835 PECOS PAC ID: 8729408935 Enrollment ID: I20201008002215 |
Provider Name | Adeola Oke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831826544 PECOS PAC ID: 0244613495 Enrollment ID: I20220819002913 |
Provider Name | Haripriya Chirala Naga |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235706375 PECOS PAC ID: 5193190437 Enrollment ID: I20230418002910 |
Provider Name | Jalpa Kotadia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356114920 PECOS PAC ID: 3274983200 Enrollment ID: I20240103000730 |
Mailing Address | Practice Location Address |
---|---|
Evidencept 12150 Annapolis Rd, Suite 201, Glenn Dale, MD 20769-9183 Ph: (301) 352-8370 | Evidencept 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Ph: (301) 352-8370 |