Optimal Physical Therapy Sports And Wellness Center,llc | |
15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 | |
(240) 474-5185 | |
Not Available |
Full Name | Optimal Physical Therapy Sports And Wellness Center,llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 15245 Shady Grove Rd Ste 475, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588172852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Yevgeniy Rubtsov |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255485264 PECOS PAC ID: 6507969508 Enrollment ID: I20090615000597 |
Mailing Address | Practice Location Address |
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Optimal Physical Therapy Sports And Wellness Center,llc 15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 Ph: (301) 792-3586 | Optimal Physical Therapy Sports And Wellness Center,llc 15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 Ph: (240) 474-5185 |
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 | |
Alexis Ayomi Afamefune, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Gude Dr, Rockville, MD 20850 Phone: 240-614-2800 | |
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 |