Susita Moorthy, PT | |
11765 Skylark Rd, Clarksburg, MD 20871-9370 | |
(301) 519-9267 | |
Not Available |
Full Name | Susita Moorthy |
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Gender | Female |
Speciality | Physical Therapist |
Location | 11765 Skylark Rd, Clarksburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700209822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22748 (Maryland) | Primary |
Provider Name | Apostle Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205223971 PECOS PAC ID: 4385964170 Enrollment ID: O20150519000649 |
Mailing Address | Practice Location Address |
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Susita Moorthy, PT 11765 Skylark Rd, Clarksburg, MD 20871-9370 Ph: (301) 519-9267 | Susita Moorthy, PT 11765 Skylark Rd, Clarksburg, MD 20871-9370 Ph: (301) 519-9267 |
Kenneth Lou Jr., PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23207 Stringtown Rd, Clarksburg, MD 20871 Phone: 301-861-2388 Fax: 240-454-0159 | |
Dr. Sheilah Nicole Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Ati Physical Therapy, 22750-d1 Newcut Road, Clarksburg, MD 20871 Phone: 301-250-2146 Fax: 240-261-5322 | |
Rebecca Lou, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23207 Stringtown Rd, Clarksburg, MD 20871 Phone: 301-861-2388 Fax: 240-454-0159 | |
Ati Holding Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22750 Newcut Rd Ste D1, Clarksburg, MD 20871 Phone: 301-540-0530 | |
Nancy Wolfson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23226 Robin Song Dr, Clarksburg, MD 20871 Phone: 301-355-4105 | |
Evolution Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 23207 Stringtown Rd, Clarksburg, MD 20871 Phone: 301-861-2388 Fax: 240-454-0159 |