Mrs Virginia Marie Standford, MSPT | |
610 Solarex Ct, Frederick, MD 21703-8624 | |
(240) 215-9023 | |
(240) 215-9026 |
Full Name | Mrs Virginia Marie Standford |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 610 Solarex Ct, 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 |
---|---|---|---|
1104805985 | NPI | - | NPPES |
K1340002 | Other | MD | CAP/FED BC |
602030700 | Other | MD | DEPT OF LABOR MSS |
R5590003 | Other | MD | FSS CAP BC |
147719000 | Other | MD | DEPT OF LABOR |
546240-06 | Other | MD | CAREFIRST FSS |
54624007 | Other | MD | MSS BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 18657 (Maryland) | Primary |
Provider Name | Privia Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Mrs Virginia Marie Standford, MSPT 9007 Grape Creek Rd, Walkersville, MD 21793-8808 Ph: (301) 845-7289 | Mrs Virginia Marie Standford, MSPT 610 Solarex Ct, Frederick, MD 21703-8624 Ph: (240) 215-9023 |
Pivot Physical Therapy Of Maryland Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 Fax: 301-620-7479 | |
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 | |
James R. Bucklin Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Westview Dr Ste 108, Frederick, MD 21703 Phone: 301-732-4754 | |
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 | |
Ashley Wertman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike, Frederick, MD 21704 Phone: 240-215-4668 |