Mr Modymark Raon Palaganas, PT | |
3300 Rivermont Ave, Lynchburg, VA 24503-2030 | |
(434) 200-7600 | |
(434) 200-1294 |
Full Name | Mr Modymark Raon Palaganas |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3300 Rivermont Ave, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215223599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 033714-1 (New York) | Secondary |
225700000X | Massage Therapist | MT108859 (Texas) | Secondary |
225100000X | Physical Therapist | CP019061T (Utah) | Primary |
Provider Name | Centra Outpatient Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871998120 PECOS PAC ID: 4789909987 Enrollment ID: O20150211000160 |
Mailing Address | Practice Location Address |
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Mr Modymark Raon Palaganas, PT 3300 Rivermont Ave, Lynchburg, VA 24503-2030 Ph: (434) 200-4618 | Mr Modymark Raon Palaganas, PT 3300 Rivermont Ave, Lynchburg, VA 24503-2030 Ph: (434) 200-7600 |
Mrs. Mona Fazzina, PT,DPT,GCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Clifton St, Lynchburg, VA 24501 Phone: 434-845-9053 | |
Kelsey T Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4668 | |
Laura Souers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 V E S Rd, Lynchburg, VA 24503 Phone: 434-386-3500 | |
Hope Johnson Trent, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd # B, Lynchburg, VA 24502 Phone: 434-237-6812 Fax: 434-509-1695 | |
Joseph Spagnolo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd Ste B, Lynchburg, VA 24502 Phone: 434-845-9053 Fax: 434-528-2788 | |
Ashley Erin Hoath, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8500 Fax: 434-485-8599 | |
David Puskas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8517 Fax: 434-485-8594 |