Grace Shodiya, DPT | |
2875 Crain Hwy, Waldorf, MD 20601-2842 | |
(301) 859-3304 | |
Not Available |
Full Name | Grace Shodiya |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2875 Crain Hwy, Waldorf, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891416806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 29404 (Maryland) | Primary |
Provider Name | Professional Sportscare & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007 |
Mailing Address | Practice Location Address |
---|---|
Grace Shodiya, DPT 13507 William Beanes Rd, Upper Marlboro, MD 20772-4005 Ph: (124) 059-5381 | Grace Shodiya, DPT 2875 Crain Hwy, Waldorf, MD 20601-2842 Ph: (301) 859-3304 |
Kirsten Borsos, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Post Office Rd Ste 105, Waldorf, MD 20602 Phone: 301-818-0603 | |
Jadyn Abrams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3018 Festival Way # 323, Waldorf, MD 20601 Phone: 240-754-5520 Fax: 301-705-6797 | |
Mr. David Grossman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603 Phone: 301-870-6717 Fax: 301-870-7366 | |
Alexander David Sharr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 Phone: 301-645-0013 Fax: 301-645-1183 | |
Ms. Filisha Mae Lustfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Post Office Rd Ste 105, Waldorf, MD 20602 Phone: 301-893-2345 Fax: 301-638-1783 | |
Anupkumar Yadav, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3165 Crain Hwy Ste 100, Waldorf, MD 20603 Phone: 301-885-2500 Fax: 301-885-2501 | |
Elias Petros Showler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11325 Pembrooke Sq Fl 2, Waldorf, MD 20603 Phone: 301-719-1146 |