Breakaway Physical Therapy, Llc | |
2138 Priest Bridge Ct Ste 7, Crofton, MD 21114-2463 | |
(410) 721-6333 | |
(410) 721-7651 |
Full Name | Breakaway Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2138 Priest Bridge Ct Ste 7, Crofton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780077784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Shaina Beth Clemons |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821376567 PECOS PAC ID: 3072786987 Enrollment ID: I20150702000425 |
Provider Name | Sabina Mccarthy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326258542 PECOS PAC ID: 4789805300 Enrollment ID: I20210113000012 |
Provider Name | Sara Polito |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780133538 PECOS PAC ID: 2264719616 Enrollment ID: I20211014000463 |
Provider Name | Mary Grace Shuker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144794157 PECOS PAC ID: 8224371364 Enrollment ID: I20220203000515 |
Provider Name | Robin Buxton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043954274 PECOS PAC ID: 8325426273 Enrollment ID: I20220604000144 |
Provider Name | Kalah Kaszanits |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790201358 PECOS PAC ID: 4981933405 Enrollment ID: I20230524002367 |
Mailing Address | Practice Location Address |
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Breakaway Physical Therapy, Llc Po Box 4704, Crofton, MD 21114-4704 Ph: (410) 721-6333 | Breakaway Physical Therapy, Llc 2138 Priest Bridge Ct Ste 7, Crofton, MD 21114-2463 Ph: (410) 721-6333 |
Brittany Metzger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2130 Priest Bridge Dr Ste 2, Crofton, MD 21114 Phone: 410-721-6333 Fax: 410-721-7651 | |
Robin Buxton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2138 Priest Bridge Ct Ste 7, Crofton, MD 21114 Phone: 410-721-6333 | |
Dr. Jocelyn Jarzynski Newell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2476 Shadywood Cir, Crofton, MD 21114 Phone: 703-220-5543 | |
Dr. Robert S Schaffer Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1578 Eton Way, Crofton, MD 21114 Phone: 410-404-8971 | |
Dr. Savannah Lee Lambert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2646 Worrell Ct, Crofton, MD 21114 Phone: 443-306-5730 | |
Karen Glasoe Mott, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2200 Defense Hwy, Suite 200, Crofton, MD 21114 Phone: 410-721-9000 Fax: 410-721-8185 | |
Timothy James Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1741 Trent St, Crofton, MD 21114 Phone: 410-736-9525 |