Red Canyon, Llc | |
801 Toll House Ave, Suite H-3, Frederick, MD 21701-4564 | |
(240) 575-9260 | |
(240) 575-9380 |
Full Name | Red Canyon, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 801 Toll House Ave, 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 |
---|---|---|---|
1952768673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Brian Weisman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992711634 PECOS PAC ID: 0840254959 Enrollment ID: I20060823000597 |
Provider Name | Sarah Falvey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912055351 PECOS PAC ID: 9739282039 Enrollment ID: I20070306000685 |
Provider Name | Maria L Caccamise |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275833535 PECOS PAC ID: 5092994855 Enrollment ID: I20110125001080 |
Provider Name | Brittany N Bull |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699020016 PECOS PAC ID: 4183873144 Enrollment ID: I20121008000007 |
Provider Name | Dexter Te |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780610188 PECOS PAC ID: 0446407431 Enrollment ID: I20150803000423 |
Provider Name | Matthew Rosewag |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659820934 PECOS PAC ID: 1254619539 Enrollment ID: I20161021000773 |
Provider Name | Katherine Elizabeth Matzke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144708918 PECOS PAC ID: 1355690561 Enrollment ID: I20180822000584 |
Provider Name | Max Mccloskey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225696297 PECOS PAC ID: 4183959968 Enrollment ID: I20190716003065 |
Provider Name | Chaunell Lucretia Abrams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720569668 PECOS PAC ID: 6305273434 Enrollment ID: I20200302000048 |
Provider Name | Morgan Creehan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790362846 PECOS PAC ID: 1153730148 Enrollment ID: I20210504000067 |
Provider Name | Jesse Smartt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366891897 PECOS PAC ID: 7416242987 Enrollment ID: I20210607001149 |
Provider Name | Nicholas Contardi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285203588 PECOS PAC ID: 4880061324 Enrollment ID: I20221114000203 |
Provider Name | Heidi Johnston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437508827 PECOS PAC ID: 9234425695 Enrollment ID: I20230420000055 |
Provider Name | Seungye Jeon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063835494 PECOS PAC ID: 3577835982 Enrollment ID: I20231006002040 |
Provider Name | Brittany Benachowski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992560742 PECOS PAC ID: 1850736620 Enrollment ID: I20240302000215 |
Provider Name | Amanda Crecelius |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740916329 PECOS PAC ID: 3870933179 Enrollment ID: I20240503001315 |
Mailing Address | Practice Location Address |
---|---|
Red Canyon, Llc 200 Business Center Dr, Reisterstown, MD 21136-1230 Ph: (443) 416-7949 | Red Canyon, Llc 801 Toll House Ave, Suite H-3, Frederick, MD 21701-4564 Ph: (240) 575-9260 |
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 |