Puja Gaitonde, | |
11230 Cornell Park Dr, Blue Ash, OH 45242-1825 | |
(513) 880-6800 | |
Not Available |
Full Name | Puja Gaitonde |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 11230 Cornell Park Dr, Blue Ash, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104180843 | NPI | - | NPPES |
2187155 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013222 (Ohio) | Primary |
Provider Name | Big Blue Canopy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548820772 PECOS PAC ID: 4880029123 Enrollment ID: O20200115001259 |
Mailing Address | Practice Location Address |
---|---|
Puja Gaitonde, 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 | Puja Gaitonde, 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 |
Dr. Ashley Dawn Snow, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5959 Hagewa Dr, Blue Ash, OH 45242 Phone: 513-686-1700 | |
Andrea Robertson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy, Blue Ash, OH 45242 Phone: 513-984-8070 | |
Aaron M Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9685 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-745-9877 Fax: 513-745-0966 | |
Elisa Travis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9419 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-792-0777 Fax: 513-792-0061 | |
Aim Therapy Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11151 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-256-8272 | |
Daniel Soria, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9525 Kenwood Rd Ste 10a, Blue Ash, OH 45242 Phone: 513-745-9877 Fax: 513-745-0966 |