| Eagle Physical Therapy And Rehabilitation | |
|
1020 Saint Paul St, Baltimore, MD 21202-2606 | |
| (410) 529-0348 | |
| (443) 451-1716 |
| Full Name | Eagle Physical Therapy And Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1020 Saint Paul St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568859478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Maryland) | Primary |
| 225X00000X | Occupational Therapist | (Maryland) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Maryland) | Secondary |
| Provider Name | Adeyinka Adepoju |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003918582 PECOS PAC ID: 1456367879 Enrollment ID: I20130503000498 |
| Provider Name | Lisa Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194069237 PECOS PAC ID: 6103061122 Enrollment ID: I20170404001131 |
| Provider Name | Oluwasegun Adepoju |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750789004 PECOS PAC ID: 1951680990 Enrollment ID: I20180129000767 |
| Provider Name | Leonard Mugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659815520 PECOS PAC ID: 7810259421 Enrollment ID: I20180517002504 |
| Provider Name | Nicole Danelle Gaither |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801308895 PECOS PAC ID: 0345235255 Enrollment ID: I20190313002584 |
| Provider Name | Allyn J Koger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366705519 PECOS PAC ID: 4486966975 Enrollment ID: I20200320000039 |
| Provider Name | Kazim Ahounou |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013379213 PECOS PAC ID: 0345645636 Enrollment ID: I20210825001235 |
| Provider Name | Bailey L Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720721160 PECOS PAC ID: 8729465950 Enrollment ID: I20220511001812 |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Physical Therapy And Rehabilitation 1020 Saint Paul St, Baltimore, MD 21202-2606 Ph: (410) 529-0348 | Eagle Physical Therapy And Rehabilitation 1020 Saint Paul St, Baltimore, MD 21202-2606 Ph: (410) 529-0348 |
Liberty Medical &injury Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd, Baltimore, MD 21207 Phone: 410-580-9191 | |
Ms. Susan Kay Dubroff, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1708 W Rogers Ave, Baltimore, MD 21209 Phone: 410-578-5224 | |
Rhonda G Stallings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-9405 | |
Kimberly Ann Cardosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-6323 Fax: 410-448-6338 | |
Joanne Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5731 Cottonworth Ave, Baltimore, MD 21209 Phone: 410-708-4763 | |
Evangeline Lajom Grecia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E North Ave, Baltimore, MD 21202 Phone: 443-642-4208 | |
Steven G Peters, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1420 Clarkview Rd, Baltimore, MD 21209 Phone: 443-213-0395 |