Samantha Larocca, DPT | |
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
(248) 325-1000 | |
Not Available |
Full Name | Samantha Larocca |
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Gender | Female |
Speciality | Physical Therapist |
Location | 6777 W Maple Rd, West Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477276756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302260 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Samantha Larocca, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Samantha Larocca, DPT 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 325-1000 |
Ancilla Walker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4779 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-301-5502 Fax: 248-366-4126 | |
Carol Casolari, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Muhammad Suhail Siddiqui, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5575 Northcote, West Bloomfield, MI 48322 Phone: 248-722-7473 Fax: 248-289-4691 | |
Katharine Elizabeth Graham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2020, West Bloomfield, MI 48323 Phone: 248-313-5940 Fax: 248-313-5941 | |
Dr. Elina Gorelkin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5436 Kingsfield Dr, West Bloomfield, MI 48322 Phone: 248-595-1500 | |
Bahram Nadim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 303, West Bloomfield, MI 48322 Phone: 248-310-2438 | |
Anna Kebl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-3845 |