| Jayson Andrew Gaza, DPT | |
|
2021a Emmorton Rd Ste 110, Bel Air, MD 21015-8914 | |
| (410) 515-0006 | |
| (410) 515-0027 |
| Full Name | Jayson Andrew Gaza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2021a Emmorton Rd Ste 110, Bel Air, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255999868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24577 (Massachusetts) | Primary |
| 225100000X | Physical Therapist | 27470 (Maryland) | Secondary |
| Provider Name | Virginia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayson Andrew Gaza, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Jayson Andrew Gaza, DPT 2021a Emmorton Rd Ste 110, Bel Air, MD 21015-8914 Ph: (410) 515-0006 |
Eric Wunderle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E Macphail Rd, Bel Air, MD 21014 Phone: 410-879-1120 | |
Vip Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 South Hays Street, Bel Air, MD 21014 Phone: 443-910-4607 | |
Mrs. Debora Deaderick Brockington, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Old Emmorton Road, Suite 210, Bel Air, MD 21015 Phone: 410-515-4900 Fax: 410-515-0777 | |
Ian Edwards, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1131 Baltimore Pike, Bel Air, MD 21014 Phone: 410-838-6070 Fax: 410-838-6961 | |
Debra Langford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1909 Emmorton Rd, Bel Air, MD 21015 Phone: 410-803-1400 Fax: 410-420-9345 | |
Abigail Macdonald, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2227 Old Emmorton Rd, Bel Air, MD 21015 Phone: 443-752-4711 | |
Steven Luca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 658 Boulton St, Suite A, Bel Air, MD 21014 Phone: 301-581-8054 Fax: 301-564-0284 |