Active Life & Sports Therapy Llc - Medicare Physical Therapist in Nottingham, MD

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Active Life & Sports Therapy Llc is a medicare enrolled "Physical Therapist" provider in Nottingham, Maryland. Their current practice location is 4337 Ebenezer Rd, Nottingham, Maryland. You can reach out to their office (for appointments etc.) via phone at (410) 529-3303.

Active Life & Sports Therapy Llc is licensed to practice in Maryland (license number 15366) and it also participates in the medicare program. Active Life & Sports Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396836052.

Contact Information

Active Life & Sports Therapy Llc
4337 Ebenezer Rd,
Nottingham, MD 21236-2143
(410) 529-3303
(410) 529-7980

Map and Direction




Healthcare Provider's Profile

Full NameActive Life & Sports Therapy Llc
TypeFacility
SpecialityPhysical Therapist
Location4337 Ebenezer Rd, Nottingham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396836052
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 01/12/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5193711927
  • Enrollment ID: O20040426000291

Medical Identifiers

Medical identifiers for Active Life & Sports Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396836052NPI-NPPES
6400507OtherMDAARP
KCH3ACOtherMDCAREFIRST OF MD
DA1789OtherMDRAILROAD MEDICARE
F517OtherMDGHMSI
434MOtherMDMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 15366 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Life & Sports Therapy Llc acts as a billing entity for following providers:
Provider NameMichael D Wah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730271420
PECOS PAC ID: 4486640216
Enrollment ID: I20040426001859
Provider NameJohn J Nietubicz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669499158
PECOS PAC ID: 0648232009
Enrollment ID: I20041028000981
Provider NameEllen M Hangen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770674418
PECOS PAC ID: 3476519794
Enrollment ID: I20041208000108
Provider NameJordan C Altekruse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619105038
PECOS PAC ID: 6305998840
Enrollment ID: I20090715000162
Provider NameJoseph R Palmer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982992467
PECOS PAC ID: 4789854548
Enrollment ID: I20110902000610
Provider NameStephanie L Alderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154677003
PECOS PAC ID: 2062668668
Enrollment ID: I20120815000130
Provider NameChristina M. Penny
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013262799
PECOS PAC ID: 3779739123
Enrollment ID: I20120820000077
Provider NameJames Neal Hicks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417387549
PECOS PAC ID: 4981834199
Enrollment ID: I20140310001400
Provider NameIan Lawrence Sikora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700213063
PECOS PAC ID: 6406079680
Enrollment ID: I20140515000077
Provider NameMichael Foley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407402936
PECOS PAC ID: 2567791262
Enrollment ID: I20190905001354
Provider NameDeidre C Cwian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255707691
PECOS PAC ID: 6002123718
Enrollment ID: I20200826002349
Provider NameNihal David Studden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598377293
PECOS PAC ID: 9830517788
Enrollment ID: I20200909003440
Provider NameSeth Donelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760098792
PECOS PAC ID: 8224457817
Enrollment ID: I20201001000269
Provider NameMariah E Torbit
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497486062
PECOS PAC ID: 7810377140
Enrollment ID: I20220705002079
Provider NameRachel M Henderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922871755
PECOS PAC ID: 8628426624
Enrollment ID: I20231201001454
Provider NameGeorgeiana B Finney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194556811
PECOS PAC ID: 1153869250
Enrollment ID: I20240821000078

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Life & Sports Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Life & Sports Therapy Llc
4 Dulaney Gate Ct,
Cockeysville, MD 21030-3011

Ph: (410) 529-3303		Active Life & Sports Therapy Llc
4337 Ebenezer Rd,
Nottingham, MD 21236-2143

Ph: (410) 529-3303

Reviews and Comments


Physical Therapist in Nottingham, MD

Nathan Dixon Mcclain,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4924 Campbell Blvd Ste 130a, Nottingham, MD 21236
Phone: 443-442-2800    
Beverly G. Flores,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236
Phone: 410-529-0348    
Jasmin Eusebio, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236
Phone: 352-732-5590    
Erika Sachiko Takahashi, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236
Phone: 410-933-7628    
Leonilo Fajardo Pallasigui,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236
Phone: 443-301-3422    
Nicole Christine Sandruck,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 7629 Belair Rd, Nottingham, MD 21236
Phone: 410-870-2104    

Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8 Quails Nest Ct, Nottingham, MD 21236
Phone: 443-469-3426    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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