| Melissa Lara Prag, PT | |
|
545 Pawtucket Ave, Pawtucket, RI 02860-6046 | |
| (401) 475-5775 | |
| (781) 828-7951 |
| Full Name | Melissa Lara Prag |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 545 Pawtucket Ave, Pawtucket, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730147349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT02125 (Rhode Island) | Primary |
| 225100000X | Physical Therapist | 9543 (Massachusetts) | Secondary |
| Provider Name | Elliott Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639591126 PECOS PAC ID: 9830322585 Enrollment ID: O20140502001089 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922473750 PECOS PAC ID: 6507832573 Enrollment ID: O20160121000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Lara Prag, PT 545 Pawtucket Ave, Pawtucket, RI 02860-6046 Ph: (401) 475-5775 | Melissa Lara Prag, PT 545 Pawtucket Ave, Pawtucket, RI 02860-6046 Ph: (401) 475-5775 |
Zeel Pareshkumar Desai, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-726-7100 Fax: 401-721-5214 | |
Highbar Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Pawtucket Ave, Mailbox 402, Pawtucket, RI 02860 Phone: 401-475-5775 | |
Kevin Alexander, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-433-4172 Fax: 401-433-0612 | |
Brittany Polk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-726-7100 | |
Mr. Steven James Lucci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860 Phone: 401-725-9666 Fax: 401-722-5896 | |
Casey Lynn Madore, PTMS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 545 Pawtucket Ave, Pawtucket, RI 02860 Phone: 401-475-5775 | |
Carol D.c. Howard, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Wilcox Ave, Pawtucket, RI 02860 Phone: 401-475-0768 |