Dr Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI | |
12150 Annapolis Rd, Suite 201, Glenn Dale, MD 20769 | |
(301) 352-8370 | |
(301) 352-8372 |
Full Name | Dr Emmanuel Olumuyiwa Moses |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 12150 Annapolis Rd, Glenn Dale, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588742514 | NPI | - | NPPES |
045308100 | Medicaid | MD | |
616235300 | Other | WORKERS COMPENSATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21846 (Maryland) | Primary |
2251X0800X | Physical Therapist - Orthopedic | 21846 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evidence Physical Therapy Llc | 3779769971 | 5 |
Provider Name | Evidence Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831493030 PECOS PAC ID: 3779769971 Enrollment ID: O20110524000765 |
Mailing Address | Practice Location Address |
---|---|
Dr Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI 12150 Annapolis Rd, Suite 201, Glenn Dale, MD 20769-9183 Ph: (301) 352-8370 | Dr Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI 12150 Annapolis Rd, Suite 201, Glenn Dale, MD 20769 Ph: (301) 352-8370 |
Robert Ninan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769 Phone: 301-853-0093 Fax: 301-853-0096 | |
Rachael Omole, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769 Phone: 301-805-5006 | |
Cecilia Esther Campos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Evidence Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 Fax: 301-352-8372 | |
Joann Teh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 Fax: 877-828-2060 | |
Jalpa Kotadia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 | |
Sangeeta Maharjan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 |