Grachelle Ibanez Casem, DPT | |
18302 Contour Rd, Montgomery Village, MD 20877-2614 | |
(240) 912-2960 | |
Not Available |
Full Name | Grachelle Ibanez Casem |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 18302 Contour Rd, Montgomery Village, Maryland |
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 |
---|---|---|---|
1093176570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT870817 (District Of Columbia) | Secondary |
225100000X | Physical Therapist | 25662 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Llc | 9537112719 | 366 |
Ati Holdings Llc | 9537112719 | 366 |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
Mailing Address | Practice Location Address |
---|---|
Grachelle Ibanez Casem, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Grachelle Ibanez Casem, DPT 18302 Contour Rd, Montgomery Village, MD 20877-2614 Ph: (240) 912-2960 |
Merrill K Lavallee, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19201 Montgomery Village Ave, Suite A-11, Montgomery Village, MD 20886 Phone: 301-948-2414 Fax: 301-948-0597 | |
Mr. Elisvan Hernandez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18302 Contour Rd, Montgomery Village, MD 20877 Phone: 240-912-2060 | |
Ati Holding Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18302 Contour Rd, Montgomery Village, MD 20877 Phone: 240-912-2960 | |
Ronna Ross Keagle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Bethany Pl, Montgomery Village, MD 20886 Phone: 301-325-1890 | |
Pamela F. Italia, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19201 Montgomery Village Ave, Suite A-11, Montgomery Village, MD 20886 Phone: 301-948-2414 Fax: 301-948-0597 | |
Peter Orlandini, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20118 Torrey Pond Pl, Montgomery Village, MD 20886 Phone: 301-250-3758 |