Jared Anderson Matlick, DPT | |
141 Thomas Johnson Dr Ste 180, Frederick, MD 21702-4509 | |
(301) 620-7478 | |
(301) 620-7479 |
Full Name | Jared Anderson Matlick |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 141 Thomas Johnson Dr Ste 180, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457737363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT003510 (West Virginia) | Secondary |
225100000X | Physical Therapist | 27540 (Maryland) | Primary |
Provider Name | Maryland Physical Therapy Services Of Frederick, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538773403 PECOS PAC ID: 7416369160 Enrollment ID: O20201222000987 |
Mailing Address | Practice Location Address |
---|---|
Jared Anderson Matlick, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Jared Anderson Matlick, DPT 141 Thomas Johnson Dr Ste 180, Frederick, MD 21702-4509 Ph: (301) 620-7478 |
Janine Velasquez Bautista, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7819 Rocky Springs Rd, Frederick, MD 21702 Phone: 877-407-3422 Fax: 877-407-4329 | |
Michelle Kaminski Vaziri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Montevue Lane, Frederick, MD 21702 Phone: 240-446-8853 | |
Erin Roosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 | |
Mr. Thomas Michael Stief, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 626 Trail Ave, Frederick, MD 21701 Phone: 301-662-1997 Fax: 301-668-2202 | |
Carolyn Sherwood, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 240-566-3400 Fax: 240-566-3125 |