Daniel Baughan, PT | |
100 Valley Center Rd, Wilmington, DE 19808-2950 | |
(302) 994-1200 | |
(302) 994-1233 |
Full Name | Daniel Baughan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 100 Valley Center Rd, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881636678 | NPI | - | NPPES |
5070-0009 | Other | CARE FIRST | |
619247601 | Other | NCA | |
1000037723 | Medicaid | DE | |
745825 | Other | PABS | |
246555 | Other | MAMSI | |
0840574000 | Other | AMERIHEALTH IBC | |
11795675 | Other | CAQH | |
840574000 | Other | AMERIHEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J100001507 (Delaware) | Primary |
225100000X | Physical Therapist | PT011115L (Pennsylvania) | Secondary |
Provider Name | Ati Holdings Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214 |
Mailing Address | Practice Location Address |
---|---|
Daniel Baughan, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Daniel Baughan, PT 100 Valley Center Rd, Wilmington, DE 19808-2950 Ph: (302) 994-1200 |
Jason Paul Beaman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 Newgate Ln, Wilmington, DE 19808 Phone: 302-636-9363 | |
Stephanie Butler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4000 | |
Jillanne Burke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 807 W 22nd St, Wilmington, DE 19802 Phone: 302-290-1587 | |
Flora Gilder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Foulk Rd Ste 2a, Wilmington, DE 19803 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ms. Lisa Hope Goodfriend, MPT, CWS, FCCWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7th And Clayton Streets, St. Frances Wound Care Center, Suite 601 Msb, Wilmington, DE 19805 Phone: 302-575-8180 Fax: 302-575-8185 | |
Dr. Meredith Hershey Perny, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62 Rockford Rd, Suite11b, Wilmington, DE 19806 Phone: 302-429-6252 | |
Megan Brady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 N Union St Ste 101, Wilmington, DE 19805 Phone: 302-778-0810 Fax: 302-778-0812 |