Shakyra Cephas
Shakyra Cephas is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2021, 5 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
14190A Baltimore AveLaurel, MD 20707-5007
Phone: (240) 542-5924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1245992148 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | October 7, 2021 |
| Certification date | September 30, 2021 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440-4909 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ati Holdings, Llc — 439 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mr. William Liao Chestnut, MSPT
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Bailey Clark, DPT
14190A Baltimore Ave, Laurel, MD 20707-5007 · (240) 542-5924