Pratiksha Bothara, | |
100 Becks Woods Dr, Bear, DE 19701-3835 | |
(302) 392-3400 | |
(302) 392-3401 |
Full Name | Pratiksha Bothara |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 100 Becks Woods Dr, Bear, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497235402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016477 (Ohio) | Secondary |
225100000X | Physical Therapist | (Delaware) | Primary |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061101000380 |
Provider Name | The Back Clinic, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275513368 PECOS PAC ID: 9739274846 Enrollment ID: O20071004000652 |
Provider Name | First State Rehab At Home Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1407229677 PECOS PAC ID: 5193028819 Enrollment ID: O20160129000208 |
Mailing Address | Practice Location Address |
---|---|
Pratiksha Bothara, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Pratiksha Bothara, 100 Becks Woods Dr, Bear, DE 19701-3835 Ph: (302) 392-3400 |
Meredith Tenerow Walker, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1015 E Songsmith Dr, Bear, DE 19701 Phone: 302-836-5670 | |
Janki Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1859 Pulaski Hwy, Bear, DE 19701 Phone: 302-888-9321 | |
Melissa Hemphill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1015 E Songsmith Dr, Bear, DE 19701 Phone: 302-836-5670 Fax: 302-836-5226 | |
Dr. Eduardo Diaz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1651 Pulaski Hwy, Bear, DE 19701 Phone: 302-834-1550 | |
Mr. Christopher Aaron Goetz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1651-53 Pulaski Highway, Bear, DE 19701 Phone: 302-834-1550 Fax: 302-834-1549 | |
Sarah Catherine Flynn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Bear Corbitt Rd, Bear, DE 19701 Phone: 302-454-2400 | |
Mr. Pedro Luiz Camargo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Becks Woods Dr, Bear, DE 19701 Phone: 302-392-3400 |