Glen Burnie Physical Therapy & Sportscare, Llc | |
5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | |
(443) 542-0062 | |
(443) 542-0250 |
Full Name | Glen Burnie Physical Therapy & Sportscare, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5500 Knoll North Dr Ste 150, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679630073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | John Broadway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124099668 PECOS PAC ID: 8527056118 Enrollment ID: I20040503001414 |
Provider Name | Donald G Heacock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023022324 PECOS PAC ID: 4688560220 Enrollment ID: I20060125000300 |
Provider Name | Karen Talbott Ramos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730110073 PECOS PAC ID: 0345343497 Enrollment ID: I20070312000141 |
Provider Name | Deborah Zeman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346443587 PECOS PAC ID: 0941301287 Enrollment ID: I20070731000164 |
Provider Name | Charles Mutschler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326084237 PECOS PAC ID: 6002832656 Enrollment ID: I20080114000294 |
Provider Name | Sandra L Woods |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013025725 PECOS PAC ID: 3476638727 Enrollment ID: I20080311000242 |
Provider Name | Kimberly Kerr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609920388 PECOS PAC ID: 0840351391 Enrollment ID: I20081203000242 |
Provider Name | Laura Liberatore Tallman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366468175 PECOS PAC ID: 6204888498 Enrollment ID: I20091230000220 |
Provider Name | Elizabeth A Wright |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164409611 PECOS PAC ID: 5890967186 Enrollment ID: I20111010000493 |
Provider Name | James C Kuhlmann |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861479305 PECOS PAC ID: 8224200100 Enrollment ID: I20111019000379 |
Provider Name | Keith Rohr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205932225 PECOS PAC ID: 1153315726 Enrollment ID: I20120120000043 |
Provider Name | Takara D Hayward |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063646735 PECOS PAC ID: 4082874227 Enrollment ID: I20120327000386 |
Provider Name | Katy Brooke Castell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447506985 PECOS PAC ID: 4587814504 Enrollment ID: I20121026000528 |
Provider Name | Kuang Hsieh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194062612 PECOS PAC ID: 7911151329 Enrollment ID: I20130213000206 |
Provider Name | Rachel N Craig |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568809069 PECOS PAC ID: 8921249053 Enrollment ID: I20130801000064 |
Provider Name | Aneyza Tarhata Abdulsani |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568765071 PECOS PAC ID: 8527201359 Enrollment ID: I20130827000520 |
Provider Name | Jason Cain |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164562260 PECOS PAC ID: 6800991852 Enrollment ID: I20131015001569 |
Provider Name | Jenna L Rourke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437585734 PECOS PAC ID: 8628202074 Enrollment ID: I20131018000055 |
Provider Name | Jordan L Natale |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154754976 PECOS PAC ID: 2668600941 Enrollment ID: I20140113000979 |
Provider Name | Patricia J Herford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558783381 PECOS PAC ID: 4183857634 Enrollment ID: I20140507001421 |
Provider Name | Arthur E Scofield |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043374101 PECOS PAC ID: 7416907167 Enrollment ID: I20140627001348 |
Provider Name | Rozalyn Kay Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235101981 PECOS PAC ID: 3779709977 Enrollment ID: I20140724000957 |
Provider Name | Taylore Benton Hoffman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184057226 PECOS PAC ID: 2860618519 Enrollment ID: I20140801001013 |
Provider Name | Stacey L Cruse |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396788154 PECOS PAC ID: 8628059961 Enrollment ID: I20140917001391 |
Provider Name | Ryan J Orner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467851055 PECOS PAC ID: 3274855861 Enrollment ID: I20141210001532 |
Provider Name | Saera H Brooks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184816621 PECOS PAC ID: 1355562919 Enrollment ID: I20150511000143 |
Provider Name | Alexandra Georgiou Holt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467826321 PECOS PAC ID: 5092018192 Enrollment ID: I20160125000240 |
Provider Name | Christine Dever |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568883874 PECOS PAC ID: 7719117266 Enrollment ID: I20160315002944 |
Provider Name | Grant Raymond Sullivan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851758106 PECOS PAC ID: 9335446848 Enrollment ID: I20160329001502 |
Provider Name | Andrea Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568813335 PECOS PAC ID: 7911290424 Enrollment ID: I20160721000333 |
Provider Name | Samantha Meyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093260531 PECOS PAC ID: 4981991403 Enrollment ID: I20160928000173 |
Provider Name | Logan Crawford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962955294 PECOS PAC ID: 1153618673 Enrollment ID: I20160928000196 |
Provider Name | Ami Shah |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518417674 PECOS PAC ID: 5496035792 Enrollment ID: I20161202000698 |
Provider Name | Zachary Thomas Kramer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477084200 PECOS PAC ID: 1850659111 Enrollment ID: I20171215000215 |
Provider Name | Jenna L Reich-nobles |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518263805 PECOS PAC ID: 7911182944 Enrollment ID: I20180213001844 |
Provider Name | Eric William Schuettenberg |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467851295 PECOS PAC ID: 0840512117 Enrollment ID: I20180404002304 |
Provider Name | Sara Christine Sims |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235559899 PECOS PAC ID: 1557588431 Enrollment ID: I20180412000176 |
Provider Name | Hilal Carter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396286696 PECOS PAC ID: 8224314349 Enrollment ID: I20180514001492 |
Provider Name | Cassandra Salvo Bettwy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285127498 PECOS PAC ID: 2264783661 Enrollment ID: I20180925000844 |
Provider Name | Erika K Velez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235297888 PECOS PAC ID: 8628085016 Enrollment ID: I20181219000232 |
Provider Name | Ashley George |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710469978 PECOS PAC ID: 4284979816 Enrollment ID: I20181228002161 |
Provider Name | Thomas Mauro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790264273 PECOS PAC ID: 5799035283 Enrollment ID: I20190408000924 |
Provider Name | Tyler James Lotz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679039028 PECOS PAC ID: 0648511188 Enrollment ID: I20190409003330 |
Provider Name | Amber Renee Baines |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508424789 PECOS PAC ID: 5890024160 Enrollment ID: I20190911002892 |
Provider Name | Samantha Phillips |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457995037 PECOS PAC ID: 0840623864 Enrollment ID: I20191205001828 |
Provider Name | Kyle Goodwin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629612429 PECOS PAC ID: 1759714884 Enrollment ID: I20191221000046 |
Provider Name | Shreya Shenoy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164890430 PECOS PAC ID: 8820425861 Enrollment ID: I20200303002229 |
Provider Name | Zachary Hunter Woolever |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598214850 PECOS PAC ID: 2062745573 Enrollment ID: I20200321000150 |
Provider Name | Emily Paluch Albrecht |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891072039 PECOS PAC ID: 5597027912 Enrollment ID: I20200328000021 |
Provider Name | Jessica Lee Noyes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427674159 PECOS PAC ID: 7719304054 Enrollment ID: I20200901000779 |
Provider Name | Siobhan France |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497005771 PECOS PAC ID: 1254675564 Enrollment ID: I20200909000736 |
Provider Name | Kelsey Jane Wolfe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801275409 PECOS PAC ID: 9234558032 Enrollment ID: I20200929000131 |
Provider Name | Solenne Morgane Borchardt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144822933 PECOS PAC ID: 4486065372 Enrollment ID: I20201125000856 |
Provider Name | Dianna Olojo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326634486 PECOS PAC ID: 8426461096 Enrollment ID: I20201229001384 |
Provider Name | Jordan Leigh Cargile |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285223834 PECOS PAC ID: 4284048588 Enrollment ID: I20210128000039 |
Provider Name | Stephanie Andrea Suesse |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780265868 PECOS PAC ID: 0143639351 Enrollment ID: I20210429000240 |
Provider Name | Ryan Kolb |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174191373 PECOS PAC ID: 3476955030 Enrollment ID: I20210706002140 |
Provider Name | Nathan Prus |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518539527 PECOS PAC ID: 2961809009 Enrollment ID: I20210916001813 |
Provider Name | Patrice Elleston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427728831 PECOS PAC ID: 7810395050 Enrollment ID: I20211001002103 |
Provider Name | Stephanie Nicole Beatty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245808872 PECOS PAC ID: 5092104927 Enrollment ID: I20211116001193 |
Provider Name | Christin A Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548628613 PECOS PAC ID: 8022307354 Enrollment ID: I20220103000626 |
Provider Name | Kyle Hamby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881355097 PECOS PAC ID: 0840682977 Enrollment ID: I20220121000607 |
Provider Name | Shane Matthew Morales |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891413647 PECOS PAC ID: 7719362474 Enrollment ID: I20220922001054 |
Provider Name | Chad Tyler Winn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720708274 PECOS PAC ID: 5597141952 Enrollment ID: I20221007002860 |
Provider Name | Amy Elizabeth Blum |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639741762 PECOS PAC ID: 1850763939 Enrollment ID: I20230220000242 |
Provider Name | Samuel Walter Allison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457046591 PECOS PAC ID: 1254791486 Enrollment ID: I20230719000859 |
Provider Name | Heather L Jackson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386327351 PECOS PAC ID: 7315393527 Enrollment ID: I20231024004093 |
Provider Name | Jabari Wilbon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538949466 PECOS PAC ID: 7113376989 Enrollment ID: I20231206001153 |
Provider Name | Stacey Digiorgio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235875329 PECOS PAC ID: 4284012568 Enrollment ID: I20231206004292 |
Provider Name | Addison Lang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700517521 PECOS PAC ID: 5294101390 Enrollment ID: I20231211003485 |
Provider Name | Charity J Wong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871362681 PECOS PAC ID: 4789035098 Enrollment ID: I20240112003935 |
Mailing Address | Practice Location Address |
---|---|
Glen Burnie Physical Therapy & Sportscare, Llc 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (252) 248-3313 | Glen Burnie Physical Therapy & Sportscare, Llc 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 Ph: (443) 542-0062 |
Susannah Lynn Coover, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275 | |
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062 | |
Laura Flynn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113 | |
Ryan Bibeau, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8895 Mcgaw Rd Ste G, Columbia, MD 21045 Phone: 443-441-0616 | |
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 | |
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300 | |
Lily Wei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 |