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1045 Maryland Ave Hagerstown MD 21740-7201 | |
| (301) 739-5437 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Physical Therapist |
| Location | 1045 Maryland Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Tina Snyder (PRESIDENT) |
| Authorized Official Contact | 2402911043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1045 Maryland Ave Hagerstown MD 21740-7201 Ph: () - | 1045 Maryland Ave Hagerstown MD 21740-7201 Ph: (301) 739-5437 |
| NPI Number | 1679921621 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 4981982980 |
|---|---|
| Medicare Enrollment ID | O20161026001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679921621 | NPI | - | NPPES |
| Provider Name | Courtney S Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942373915 PECOS PAC ID: 9133349806 Enrollment ID: I20140930002577 |
| Provider Name | Emily Gray Burke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891208856 PECOS PAC ID: 9830457464 Enrollment ID: I20180103000297 |
| Provider Name | Stephanie Baldwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457800351 PECOS PAC ID: 0446511141 Enrollment ID: I20180220002171 |
| Provider Name | Nature Rain Cordelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366069742 PECOS PAC ID: 5092125138 Enrollment ID: I20201102000698 |
| Provider Name | Mackenzie Lorraine Swank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013681535 PECOS PAC ID: 6608217252 Enrollment ID: I20240514000606 |
| Provider Name | Colleen Slaton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063863520 PECOS PAC ID: 5395289763 Enrollment ID: I20240627000819 |
| Provider Name | Connor Reed Swank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306513619 PECOS PAC ID: 5991249930 Enrollment ID: I20240701002361 |
| Provider Name | Emily Cartwright Poole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730378118 PECOS PAC ID: 9436699758 Enrollment ID: I20240912002135 |
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