Samuel Walter Allison, | |
7629 Belair Rd, Nottingham, MD 21236-4003 | |
(410) 870-2104 | |
(410) 870-6896 |
Full Name | Samuel Walter Allison |
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Gender | Male |
Speciality | Physical Therapist |
Location | 7629 Belair Rd, 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 |
---|---|---|---|
1457046591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 29469 (Maryland) | Primary |
Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
Provider Name | Ati Holdings, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
Provider Name | Ati Holdings, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
Provider Name | Maryland Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
Mailing Address | Practice Location Address |
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Samuel Walter Allison, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Samuel Walter Allison, 7629 Belair Rd, Nottingham, MD 21236-4003 Ph: (410) 870-2104 |
Nathan Dixon Mcclain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4924 Campbell Blvd Ste 130a, Nottingham, MD 21236 Phone: 443-442-2800 | |
Beverly G. Flores, Physical Therapist Medicare: Medicare Enrolled 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 | |