| David Smith, | |
|
2540 Pulaski Hwy Ste B, North East, MD 21901-2610 | |
| (410) 339-1960 | |
| (443) 941-9441 |
| Full Name | David Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 2540 Pulaski Hwy Ste B, North East, 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 |
|---|---|---|---|
| 1407320880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | J1-0004025 (Delaware) | Secondary |
| 225100000X | Physical Therapist | 28369 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Sportscare And Rehab Llc | 2860440427 | 120 |
| Maryland Sportscare And Rehab Llc | 2860440427 | 120 |
| 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 |
|---|---|
| David Smith, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | David Smith, 2540 Pulaski Hwy Ste B, North East, MD 21901-2610 Ph: (410) 339-1960 |
Kathleen Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Holly Shane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy, Suite A, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
Dr. Sean Michael Peden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 | |
Margaret Steller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
Michelle Thompson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Joseph George Kalathil, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 |