Nicholas Jan, | |
4701 Randolph Rd, Ste 105, Rockville, MD 20852-2260 | |
(301) 990-9599 | |
Not Available |
Full Name | Nicholas Jan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 4701 Randolph Rd, Rockville, Maryland |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841688546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 25290 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jan Active Therapy Llc | 9133489776 | 2 |
Provider Name | Jan Active Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285146423 PECOS PAC ID: 9133489776 Enrollment ID: O20181022001122 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Jan, 10 Saint Patricks Dr, Ste 401, Waldorf, MD 20603-4583 Ph: (301) 870-7366 | Nicholas Jan, 4701 Randolph Rd, Ste 105, Rockville, MD 20852-2260 Ph: (301) 990-9599 |
Kelly Marie Hanns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6208 Montrose Road, Rockville, MD 20852 Phone: 301-468-9343 | |
Samuel Noah Herbst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1071 Seven Locks Rd, Rockville, MD 20854 Phone: 301-515-0900 Fax: 240-912-2381 | |
Katherine Ortlieb Tiffey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 818 Carter Rd, Rockville, MD 20852 Phone: 202-257-4192 | |
Anjana Viswanathan, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 192 Halpine Rd Ste D, Rockville, MD 20852 Phone: 240-514-2400 Fax: 301-816-6968 | |
Mrs. Elham Tehranchi, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9909 Medical Center Drive, Rockville, MD 20850 Phone: 240-864-6000 Fax: 240-864-6049 | |
Mr. Pavlos Gkikas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4960 Boiling Brook Pkwy, Rockville, MD 20852 Phone: 410-989-3833 | |
Zahra Susan Nikseresht, MASTERS DEGREE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Executive Blvd Ste 510, Not Applicable, Rockville, MD 20852 Phone: 301-770-7900 Fax: 301-770-7904 |