Rachael Omole (NPI# 1104330208, PAC ID# 3678833365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104330208 |
| PAC ID by PECOS | 3678833365 |
| Professional Enrollment ID | I20180126001363 |
| Full Name | Rachael Omole |
| Organization Legal Name | SPORTS PRO PHYSICAL THERAPY LLC |
| Address |
12200 Annapolis Rd Suite 119 Glenn Dale MD 20769-9180 |
| Phone Number | 3018055006 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4688748106 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9180 | 3018055006 | SPORTS PRO PHYSICAL THERAPY LLC |
| 9440 Pennsylvania Ave, Suite 215, Upper Marlboro, MD 20772-3659 | 3105998899 | SPORTS PRO PHYSICAL THERAPY LLC |
| Organization Legal Name | SPORTS PRO PHYSICAL THERAPY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Crable | Physical Therapy | Sports Pro Physical Therapy LLC | 9440 Pennsylvania Ave, Suite 215, Upper Marlboro, MD 20772-3659 |
| Daryl A Clarke | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9180 |
| Krystle Robinson | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9180 |
| Dominique Latrice Leary | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Glenn Dale, MD 20769-9180 |
| Street Address |
12200 ANNAPOLIS RD SUITE 119 |
| City | GLENN DALE |
| State | MD |
| Zip | 20769-9180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene A Magee | Nephrology | Nephrology Associates LLC | 12200 Annapolis Rd, Suite 324, Glenn Dale, MD 20769-9184 |
| Buari A Osman | Nephrology | Nephrology Associates LLC | 12200 Annapolis Rd, Suite 324, Glenn Dale, MD 20769-9184 |
| Okeowo D Ibitoye | Internal Medicine | 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 | |
| Valerie D Callender | Dermatology | 12200 Annapolis Rd, Suite 315, Glenn Dale, MD 20769-9182 | |
| Ikechi F Okwara | Internal Medicine | Inclusive Health Corporation | 12200 Annapolis Rd, Suite 316, Glenn Dale, MD 20769-9182 |
| Ifeoma Okadigbo | Nephrology | Nephrology Associates LLC | 12200 Annapolis Rd, Suite 324, Glenn Dale, MD 20769-9184 |
| Nader Tavakoli-jalili | Family Medicine | 12200 Annapolis Rd, Glenn Dale, MD 20769-9180 | |
| Pearl A Coakley | Psychologist, Clinical | 12200 Annapolis Rd, Suite 320, Glenn Dale, MD 20769-9182 | |
| Ysmael John A Quiaoit | Nephrology | Nephrology Associates LLC | 12200 Annapolis Rd, Suite 324, Glenn Dale, MD 20769-9184 |
| Renee C Bovelle | Ophthalmology | 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica L Smith | Clinical Social Worker | Reid Temple Restoration Center, Inc. | 11400 Glenn Dale Blvd, Glenn Dale, MD 20769-9049 |
| Shalena Heard | Psychologist, Clinical | Reid Temple Restoration Center, Inc. | 11400 Glenn Dale Blvd, Glenn Dale, MD 20769-9049 |
| Farhad Jamali | Internal Medicine | Prime Medicine LLC | 12150 Annapolis Rd, Suite 308, Glenn Dale, MD 20769-9179 |
| Parand Alavi | Internal Medicine | Prime Medicine LLC | 12150 Annapolis Rd, Suite 308, Glenn Dale, MD 20769-9179 |
| Ella E Pantazis | Chiropractic | 12200 Annapolis Rd, Suite 221, Glenn Dale, MD 20769-9180 | |
| Daryl A Clarke | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9180 |
| Krystle Robinson | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9180 |
| Dominique Latrice Leary | Physical Therapy | Sports Pro Physical Therapy LLC | 12200 Annapolis Rd, Glenn Dale, MD 20769-9180 |
| Craig M Thomas | Orthopedic Surgery | Centers for Advanced Orthopaedics LLC | 12200 Annapolis Rd, Suite 123, Glenn Dale, MD 20769-9182 |
| Mukemil Abdella | Internal Medicine | 12200 Annapolis Rd, Suite 229, Glenn Dale, MD 20769-9182 | |
| Find all physicians in zip 20769 | |||
| City | GLENN DALE |
| Zip Code | 20769 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GLENN DALE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.