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8420 Gas House Pike, Suite U, Frederick, MD 21701-4971 | |
(443) 414-9888 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 8420 Gas House Pike, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750734299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20003 (Maryland) | Primary |
225XH1200X | Occupational Therapist - Hand | 04905 (Maryland) | Secondary |
Provider Name | Rebecca Badgujar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154671915 PECOS PAC ID: 8325297328 Enrollment ID: I20121008000445 |
Provider Name | Tania L Danner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386707263 PECOS PAC ID: 7618121898 Enrollment ID: I20130218000383 |
Provider Name | Jason D Leadbetter |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497800189 PECOS PAC ID: 7113203316 Enrollment ID: I20170411000017 |
Provider Name | Michele A Leadbetter |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831252501 PECOS PAC ID: 9931485133 Enrollment ID: I20170411000035 |
Provider Name | Mackenzie R Frazier |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417469883 PECOS PAC ID: 6406118322 Enrollment ID: I20180313000361 |
Provider Name | Colin Donovan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336741453 PECOS PAC ID: 6608288758 Enrollment ID: I20201214001135 |
Provider Name | Kathryn T Shoemaker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033874680 PECOS PAC ID: 1456743152 Enrollment ID: I20220107001879 |
Provider Name | Karley Coleman |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013627595 PECOS PAC ID: 2860866969 Enrollment ID: I20230313000383 |
Mailing Address | Practice Location Address |
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8420 Gas House Pike, Suite U, Frederick, MD 21701-4971 Ph: (443) 414-9888 | 8420 Gas House Pike, Suite U, Frederick, MD 21701-4971 Ph: (443) 414-9888 |
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 |