| 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 |
| Provider Name | Jillian Raglin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710598875 PECOS PAC ID: 5698117026 Enrollment ID: I20240918000030 |
| 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 |