Philip Gerard Smith, PT | |
4924 Campbell Blvd, Nottingham, MD 21236-5908 | |
(443) 280-2050 | |
Not Available |
Full Name | Philip Gerard Smith |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4924 Campbell Blvd, Nottingham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154573103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22706 (Maryland) | Primary |
Provider Name | Lifebridge Sports Medicine And Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578055497 PECOS PAC ID: 4385787910 Enrollment ID: O20180724000217 |
Mailing Address | Practice Location Address |
---|---|
Philip Gerard Smith, PT 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (443) 280-2050 | Philip Gerard Smith, PT 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (443) 280-2050 |
Beverly G. Flores, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236 Phone: 410-529-0348 | |
Jasmin Eusebio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236 Phone: 352-732-5590 | |
Erika Sachiko Takahashi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236 Phone: 410-933-7628 | |
Leonilo Fajardo Pallasigui, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236 Phone: 443-301-3422 | |
Nicole Christine Sandruck, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 | |
Swift Rehabilitation Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Quails Nest Ct, Nottingham, MD 21236 Phone: 443-469-3426 | |
Samantha Adkins, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 |