Portera Rehabilitation | |
4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 | |
(301) 358-6155 | |
(301) 423-1440 |
Full Name | Portera Rehabilitation |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4467 Old Branch Ave Ste 103, Temple Hills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649404179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT21443 (Maryland) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Raphael Denbow |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932438868 PECOS PAC ID: 8921140161 Enrollment ID: I20100126000497 |
Provider Name | Andre P Goldson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215247713 PECOS PAC ID: 0941475487 Enrollment ID: I20111212000129 |
Provider Name | Roberto M Bonnevie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588891584 PECOS PAC ID: 6002047594 Enrollment ID: I20140326001418 |
Provider Name | Leshia N Weers |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073879250 PECOS PAC ID: 4486967858 Enrollment ID: I20150715000609 |
Provider Name | Rawlda L Freeman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659649820 PECOS PAC ID: 1052570330 Enrollment ID: I20181024000315 |
Provider Name | Folake O Ayegbusi |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861150278 PECOS PAC ID: 4082000658 Enrollment ID: I20220407000581 |
Provider Name | Ariel Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700657152 PECOS PAC ID: 6002259017 Enrollment ID: I20240207000428 |
Mailing Address | Practice Location Address |
---|---|
Portera Rehabilitation 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 Ph: (301) 358-6155 | Portera Rehabilitation 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 Ph: (301) 358-6155 |
Cary Peralta, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 | |
Anthony Shepherd Ii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2422 Olson St, Temple Hills, MD 20748 Phone: 202-409-9960 | |
Indya Warr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4467 Old Branch Ave, Suite 101, Temple Hills, MD 20748 Phone: 301-358-6155 | |
Rawlda Freeman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 Fax: 301-423-1440 | |
Raphael Joshua Denbow Ii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 Fax: 301-423-1440 | |
Mrs. Christianne Cabangon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4863 Saint Barnabas Rd, Apt 7, Temple Hills, MD 20748 Phone: 240-330-3544 |