| Lisa Jordan, DPT | |
|
6842 Race Track Rd, Bowie, MD 20715-3011 | |
| (240) 544-0200 | |
| (301) 464-1053 |
| Full Name | Lisa Jordan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6842 Race Track Rd, Bowie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194069237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | J1-0002908 (Delaware) | Secondary |
| 225100000X | Physical Therapist | 24299 (Maryland) | Primary |
| Provider Name | Salus Capital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jordan, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Lisa Jordan, DPT 6842 Race Track Rd, Bowie, MD 20715-3011 Ph: (240) 544-0200 |
Dante Lemar Gorham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Mitchellville Rd, Ste A400, Bowie, MD 20716 Phone: 301-805-7110 | |
Possibilities Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 3622 Majestic Ln, Bowie, MD 20715 Phone: 301-502-4938 | |
Michael White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1525 Pointer Ridge Pl, #304, Bowie, MD 20716 Phone: 301-466-6283 | |
Keith Y Fleischmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4367 Northview Dr, Bowie, MD 20716 Phone: 301-464-4500 Fax: 301-464-8818 | |
Mary Kathleen Sorenson, PT/CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715 Phone: 410-263-6638 Fax: 410-268-6830 | |
Ati Holdings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6842 Race Track Rd Ste B, Bowie, MD 20715 Phone: 240-544-0200 | |
Richmond Sarpong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd Ste B222, Bowie, MD 20716 Phone: 301-464-3775 Fax: 301-358-3211 |