Mrs Laura L Tallman, DPT | |
2634 Brandermill Blvd, Gambrills, MD 21054 | |
(410) 721-7201 | |
(410) 721-7580 |
Full Name | Mrs Laura L Tallman |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 2634 Brandermill Blvd, Gambrills, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366468175 | NPI | - | NPPES |
619265-04 | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD |
80286700 | Medicaid | MD | |
51200008 | Other | MD | CAREFIRST |
F8710005 | Other | DC | CAREFIRST BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20652 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glen Burnie Physical Therapy And Sportscare Llc | 0042102592 | 26 |
Professional Sportscare And Rehab Llc | 9335137363 | 95 |
Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
Provider Name | Professional Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20130522000082 |
Provider Name | Movewell Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568236065 PECOS PAC ID: 4587009543 Enrollment ID: O20240229001050 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura L Tallman, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Mrs Laura L Tallman, DPT 2634 Brandermill Blvd, Gambrills, MD 21054 Ph: (410) 721-7201 |
Steven Melchiorre, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2389 Brandermill Blvd Ste 103, Gambrills, MD 21054 Phone: 410-774-9821 | |
Chelsea Shaunte Nelson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2389 Brandermill Blvd Ste 103, Gambrills, MD 21054 Phone: 410-774-9821 | |
Eugene Khoroshan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 | |
Lee Koch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2410 Evergreen Rd Ste 100, Gambrills, MD 21054 Phone: 410-451-8150 Fax: 410-451-8151 | |
Margaret Cuddy Frey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 State Route 3 S, Gambrills, MD 21054 Phone: 443-645-3162 | |
Scott Goyette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 Fax: 410-721-7580 | |
Gavin Palma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2410 Evergreen Rd Ste 100, Gambrills, MD 21054 Phone: 410-451-8140 |