Ryan E Bolena, DPT | |
1561 Commerce Rd Ste 402, Verona, VA 24482 | |
(540) 416-0530 | |
Not Available |
Full Name | Ryan E Bolena |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1561 Commerce Rd Ste 402, Verona, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316297369 | NPI | - | NPPES |
018TE | Other | NC | NORTH CAROLINA BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13774 (North Carolina) | Secondary |
225100000X | Physical Therapist | 2305207785 (Virginia) | Primary |
Provider Name | Ivyrehab Sept, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 |
Mailing Address | Practice Location Address |
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Ryan E Bolena, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () - | Ryan E Bolena, DPT 1561 Commerce Rd Ste 402, Verona, VA 24482 Ph: (540) 416-0530 |
Dr. Kasia Luzynski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Government Center Ln, Verona, VA 24482 Phone: 540-245-5100 | |
Joseph William Wood Jr., Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1561 Commerce Rd Ste 402, Verona, VA 24482 Phone: 540-416-0530 | |
Cheryl Moffett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Green Hill Dr, Verona, VA 24482 Phone: 540-213-1201 Fax: 540-213-1204 | |
Marla Poteat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1561 Commerce Rd # 402, Verona, VA 24482 Phone: 540-416-0110 Fax: 540-416-0531 | |
Ann Shreckhise Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1561 Commerce Rd # 402, Verona, VA 24482 Phone: 540-416-0530 Fax: 540-416-0531 |