Jibrin Akinkuolie, | |
2314 Pulaski Hwy Ste A, North East, MD 21901-3730 | |
(410) 287-2940 | |
(410) 287-2941 |
Full Name | Jibrin Akinkuolie |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2314 Pulaski Hwy Ste A, North East, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639813769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Maryland) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
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: O20061023000321 |
Mailing Address | Practice Location Address |
---|---|
Jibrin Akinkuolie, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jibrin Akinkuolie, 2314 Pulaski Hwy Ste A, North East, MD 21901-3730 Ph: (410) 287-2940 |
Pivot Physical Therapy Of Maryland Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 | |
Kathleen Miller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Holly Shane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2314 Pulaski Hwy, Suite A, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
Dr. Sean Michael Peden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 | |
Ati Physical Therapy North East Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy Ste A, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
David Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Margaret Steller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 |