Daniel Sparks, PT | |
3551 Washington Blvd, Halethorpe, MD 21227-1672 | |
(443) 566-4260 | |
(443) 558-1090 |
Full Name | Daniel Sparks |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3551 Washington Blvd, Halethorpe, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275072191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 23652 (Maryland) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
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 |
Provider Name | Felice Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851774475 PECOS PAC ID: 7618265687 Enrollment ID: O20161006000280 |
Mailing Address | Practice Location Address |
---|---|
Daniel Sparks, PT 501 Fairmount Ave, Ste 302, Towson, MD 21286-5457 Ph: (410) 927-8768 | Daniel Sparks, PT 3551 Washington Blvd, Halethorpe, MD 21227-1672 Ph: (443) 566-4260 |
Dr. Hannah Broadwater, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1585 Sulphur Spring Rd Ste 110, Halethorpe, MD 21227 Phone: 410-247-1100 Fax: 410-247-5740 | |
Pivot Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Washington Blvd, Halethorpe, MD 21227 Phone: 443-566-4260 Fax: 443-558-1090 |