Optimum Physical Therapy And Wellness, Llc | |
1050 Key Pkwy Ste 202, Frederick, MD 21702-4551 | |
(240) 629-3944 | |
Not Available |
Full Name | Optimum Physical Therapy And Wellness, Llc |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1050 Key Pkwy Ste 202, 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 |
---|---|---|---|
1538627492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Timothy Paul Garrison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336182849 PECOS PAC ID: 2668484379 Enrollment ID: I20060621000188 |
Provider Name | Jarrett Myles Shavitz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063576304 PECOS PAC ID: 6608979778 Enrollment ID: I20070309000227 |
Provider Name | Wendy C Savoie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639330871 PECOS PAC ID: 3678732302 Enrollment ID: I20120315000338 |
Provider Name | Cristina Fontanez -garrison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366563439 PECOS PAC ID: 9537555065 Enrollment ID: I20220408000346 |
Mailing Address | Practice Location Address |
---|---|
Optimum Physical Therapy And Wellness, Llc 134 Greenridge Rd, Lutherville Timonium, MD 21093-6122 Ph: (410) 726-6890 | Optimum Physical Therapy And Wellness, Llc 1050 Key Pkwy Ste 202, Frederick, MD 21702-4551 Ph: (240) 629-3944 |