Gold Medal Physical Therapy Llc | |
407 E Churchville Rd, Suite 102, Bel Air, MD 21014-3844 | |
(410) 638-5525 | |
(410) 638-5558 |
Full Name | Gold Medal Physical Therapy Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 407 E Churchville Rd, Bel Air, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154395226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | John Broadway |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124099668 PECOS PAC ID: 8527056118 Enrollment ID: I20040503001414 |
Provider Name | Kevin T Murray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306817275 PECOS PAC ID: 7911808035 Enrollment ID: I20040507000219 |
Provider Name | Jeremy S Stiffler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215908751 PECOS PAC ID: 9234193251 Enrollment ID: I20041118000435 |
Provider Name | Jill Katulka |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154383420 PECOS PAC ID: 5395776090 Enrollment ID: I20070615000113 |
Provider Name | Sarah Blanchard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013250067 PECOS PAC ID: 0648416198 Enrollment ID: I20130429000450 |
Provider Name | Nicholas R Rainey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093130650 PECOS PAC ID: 4082846274 Enrollment ID: I20140423000871 |
Provider Name | Faith Nicole Reilly |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770935462 PECOS PAC ID: 6507151065 Enrollment ID: I20160823000729 |
Provider Name | Chad H Blomquist |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578995510 PECOS PAC ID: 2264709609 Enrollment ID: I20170606001934 |
Provider Name | Richard Joseph Lawrence |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336665363 PECOS PAC ID: 3779849195 Enrollment ID: I20171117000334 |
Provider Name | Mark H Shepherd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619289196 PECOS PAC ID: 3375873938 Enrollment ID: I20190924002729 |
Provider Name | Kyle L Jones |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710526785 PECOS PAC ID: 0840610572 Enrollment ID: I20201020000577 |
Provider Name | Molly Sidleck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821743097 PECOS PAC ID: 3971998261 Enrollment ID: I20220324000002 |
Provider Name | Brady Baird |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245984442 PECOS PAC ID: 8921495995 Enrollment ID: I20220420003104 |
Mailing Address | Practice Location Address |
---|---|
Gold Medal Physical Therapy Llc 407 E Churchville Rd, Suite 102, Bel Air, MD 21014-3844 Ph: (410) 638-5525 | Gold Medal Physical Therapy Llc 407 E Churchville Rd, Suite 102, Bel Air, MD 21014-3844 Ph: (410) 638-5525 |
Eric Wunderle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E Macphail Rd, Bel Air, MD 21014 Phone: 410-879-1120 | |
Vip Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 South Hays Street, Bel Air, MD 21014 Phone: 443-910-4607 | |
Mrs. Debora Deaderick Brockington, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Old Emmorton Road, Suite 210, Bel Air, MD 21015 Phone: 410-515-4900 Fax: 410-515-0777 | |
Ian Edwards, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1131 Baltimore Pike, Bel Air, MD 21014 Phone: 410-838-6070 Fax: 410-838-6961 | |
Debra Langford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1909 Emmorton Rd, Bel Air, MD 21015 Phone: 410-803-1400 Fax: 410-420-9345 | |
Abigail Macdonald, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2227 Old Emmorton Rd, Bel Air, MD 21015 Phone: 443-752-4711 | |
Steven Luca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 658 Boulton St, Suite A, Bel Air, MD 21014 Phone: 301-581-8054 Fax: 301-564-0284 |