Thomas Ballenger, MSPT | |
52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902 | |
(410) 658-0100 | |
(410) 658-0199 |
Full Name | Thomas Ballenger |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 52 Rising Sun Town Ctr, Rising Sun, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174569511 | NPI | - | NPPES |
5070-0024 | Other | CARE FIRST | |
1174569511 | Medicaid | DE | |
2410592000 | Other | PA | AMERIHEALTH |
61809001 | Other | NCA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J10001666 (Delaware) | Secondary |
225100000X | Physical Therapist | 20892 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Llc | 9537112719 | 366 |
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 | Union Hospital Of Cecil County Health Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467735456 PECOS PAC ID: 0941477095 Enrollment ID: O20120113000046 |
Mailing Address | Practice Location Address |
---|---|
Thomas Ballenger, MSPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Thomas Ballenger, MSPT 52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902 Ph: (410) 658-0100 |
Ati Holding Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 | |
Courtney Eve Christman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199 | |
Mr. Antonio Eacdine Pomponi, MPT CERT MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199 | |
Frederick Earl Jenkins Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 410-658-6555 | |
Ati Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-297-8141 | |
Judith Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Rising Sun Town Ctr, Rising Sun, MD 21911 Phone: 410-658-0100 Fax: 410-658-0199 |