| Impact Sports Physical Therapy Llc | |
|
7468 Candlewood Rd, Hanover, MD 21076-3211 | |
| (410) 684-5642 | |
| Not Available |
| Full Name | Impact Sports Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7468 Candlewood Rd, Hanover, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770007411 | NPI | - | NPPES |
| 1013316884 | Other | INDIVIDUAL NPI ROBERT ESBRANDT | |
| 1780097113 | Other | INDIVIDUAL NPI | |
| W18167155 | Other | LLC ID # | |
| 25008 | Other | MARYLAND PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 25008 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Sports Physical Therapy Llc 8816 Dove Dr, Perry Hall, MD 21128-9000 Ph: (410) 322-9777 | Impact Sports Physical Therapy Llc 7468 Candlewood Rd, Hanover, MD 21076-3211 Ph: (410) 684-5642 |
Darien Antoine Mellerson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7556 Teague Rd Ste 400, Hanover, MD 21076 Phone: 410-799-4994 Fax: 410-799-1044 | |
Zachary Loren Mccarthy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2645 Annapolis Rd Ste B, Hanover, MD 21076 Phone: 443-351-2063 | |
Sneha Bathija, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645b Annapolis Rd, Hanover, MD 21076 Phone: 443-351-2063 Fax: 410-551-5634 | |
Ati Physical Therapy Hanover-severn Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645b Annapolis Rd, Hanover, MD 21076 Phone: 443-351-2063 Fax: 410-551-5634 | |
Brittany Wentzel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7468 Candlewood Rd, Hanover, MD 21076 Phone: 410-684-5642 | |
Brandon Elias Ross, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7468 Candlewood Rd # H3, Hanover, MD 21076 Phone: 410-684-5642 Fax: 443-632-0521 | |
Mr. Richard Morgan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7556 Teague Rd Ste 400, Hanover, MD 21076 Phone: 410-799-4994 |