| Glen Burnie Physical Therapy & Sportscare, Llc | |
|
5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | |
| (443) 542-0062 | |
| (443) 542-0250 |
| Full Name | Glen Burnie Physical Therapy & Sportscare, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5500 Knoll North Dr Ste 150, Columbia, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679630073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | John Broadway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124099668 PECOS PAC ID: 8527056118 Enrollment ID: I20040503001414 |
| Provider Name | Donald G Heacock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023022324 PECOS PAC ID: 4688560220 Enrollment ID: I20060125000300 |
| Provider Name | Karen Talbott Ramos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730110073 PECOS PAC ID: 0345343497 Enrollment ID: I20070312000141 |
| Provider Name | Deborah Zeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346443587 PECOS PAC ID: 0941301287 Enrollment ID: I20070731000164 |
| Provider Name | Charles Mutschler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326084237 PECOS PAC ID: 6002832656 Enrollment ID: I20080114000294 |
| Provider Name | Sandra L Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013025725 PECOS PAC ID: 3476638727 Enrollment ID: I20080311000242 |
| Provider Name | Kimberly Kerr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609920388 PECOS PAC ID: 0840351391 Enrollment ID: I20081203000242 |
| Provider Name | Laura Liberatore Tallman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366468175 PECOS PAC ID: 6204888498 Enrollment ID: I20091230000220 |
| Provider Name | Elizabeth A Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164409611 PECOS PAC ID: 5890967186 Enrollment ID: I20111010000493 |
| Provider Name | James C Kuhlmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861479305 PECOS PAC ID: 8224200100 Enrollment ID: I20111019000379 |
| Provider Name | Takara D Hayward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063646735 PECOS PAC ID: 4082874227 Enrollment ID: I20120327000386 |
| Provider Name | Kuang Hsieh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194062612 PECOS PAC ID: 7911151329 Enrollment ID: I20130213000206 |
| Provider Name | Rachel N Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568809069 PECOS PAC ID: 8921249053 Enrollment ID: I20130801000064 |
| Provider Name | Aneyza Tarhata Abdulsani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568765071 PECOS PAC ID: 8527201359 Enrollment ID: I20130827000520 |
| Provider Name | Jason Cain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164562260 PECOS PAC ID: 6800991852 Enrollment ID: I20131015001569 |
| Provider Name | Jenna L Rourke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437585734 PECOS PAC ID: 8628202074 Enrollment ID: I20131018000055 |
| Provider Name | Jordan L Natale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154754976 PECOS PAC ID: 2668600941 Enrollment ID: I20140113000979 |
| Provider Name | Arthur E Scofield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043374101 PECOS PAC ID: 7416907167 Enrollment ID: I20140627001348 |
| Provider Name | Rozalyn Kay Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235101981 PECOS PAC ID: 3779709977 Enrollment ID: I20140724000957 |
| Provider Name | Stacey L Cruse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396788154 PECOS PAC ID: 8628059961 Enrollment ID: I20140917001391 |
| Provider Name | Saera H Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184816621 PECOS PAC ID: 1355562919 Enrollment ID: I20150511000143 |
| Provider Name | Kristen Eileen Doane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851797716 PECOS PAC ID: 2466765110 Enrollment ID: I20150723008572 |
| Provider Name | Nancy Teslenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780841932 PECOS PAC ID: 1759604473 Enrollment ID: I20150924000463 |
| Provider Name | Alexandra Georgiou Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467826321 PECOS PAC ID: 5092018192 Enrollment ID: I20160125000240 |
| Provider Name | Christine Dacosta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568883874 PECOS PAC ID: 7719117266 Enrollment ID: I20160315002944 |
| Provider Name | Grant Raymond Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851758106 PECOS PAC ID: 9335446848 Enrollment ID: I20160329001502 |
| Provider Name | Andrea Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568813335 PECOS PAC ID: 7911290424 Enrollment ID: I20160721000333 |
| Provider Name | Logan Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962955294 PECOS PAC ID: 1153618673 Enrollment ID: I20160928000196 |
| Provider Name | Ami Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518417674 PECOS PAC ID: 5496035792 Enrollment ID: I20161202000698 |
| Provider Name | Jenna L Reich-nobles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518263805 PECOS PAC ID: 7911182944 Enrollment ID: I20180213001844 |
| Provider Name | Sara Christine Sims |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235559899 PECOS PAC ID: 1557588431 Enrollment ID: I20180412000176 |
| Provider Name | Hilal Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396286696 PECOS PAC ID: 8224314349 Enrollment ID: I20180514001492 |
| Provider Name | Cassandra Salvo Bettwy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285127498 PECOS PAC ID: 2264783661 Enrollment ID: I20180925000844 |
| Provider Name | Brian Leimkuhler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003323924 PECOS PAC ID: 0749524650 Enrollment ID: I20181204001909 |
| Provider Name | Erika K Velez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235297888 PECOS PAC ID: 8628085016 Enrollment ID: I20181219000232 |
| Provider Name | Ashley George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710469978 PECOS PAC ID: 4284979816 Enrollment ID: I20181228002161 |
| Provider Name | Tyler James Lotz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679039028 PECOS PAC ID: 0648511188 Enrollment ID: I20190409003330 |
| Provider Name | Amber Renee Baines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508424789 PECOS PAC ID: 5890024160 Enrollment ID: I20190911002892 |
| Provider Name | Samantha Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457995037 PECOS PAC ID: 0840623864 Enrollment ID: I20191205001828 |
| Provider Name | Kyle Goodwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629612429 PECOS PAC ID: 1759714884 Enrollment ID: I20191221000046 |
| Provider Name | Shreya Shenoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164890430 PECOS PAC ID: 8820425861 Enrollment ID: I20200303002229 |
| Provider Name | Zachary Hunter Woolever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598214850 PECOS PAC ID: 2062745573 Enrollment ID: I20200321000150 |
| Provider Name | Emily Paluch Albrecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891072039 PECOS PAC ID: 5597027912 Enrollment ID: I20200328000021 |
| Provider Name | Jessica Lee Noyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427674159 PECOS PAC ID: 7719304054 Enrollment ID: I20200901000779 |
| Provider Name | Kelsey Jane Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801275409 PECOS PAC ID: 9234558032 Enrollment ID: I20200929000131 |
| Provider Name | Solenne Morgane Borchardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144822933 PECOS PAC ID: 4486065372 Enrollment ID: I20201125000856 |
| Provider Name | Dianna Olojo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326634486 PECOS PAC ID: 8426461096 Enrollment ID: I20201229001384 |
| Provider Name | Jordan Leigh Cargile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285223834 PECOS PAC ID: 4284048588 Enrollment ID: I20210128000039 |
| Provider Name | Ryan Kolb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174191373 PECOS PAC ID: 3476955030 Enrollment ID: I20210706002140 |
| Provider Name | Patrice Elleston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427728831 PECOS PAC ID: 7810395050 Enrollment ID: I20211001002103 |
| Provider Name | Caitlin Kratz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013681600 PECOS PAC ID: 1153712633 Enrollment ID: I20211216001067 |
| Provider Name | Kyle Hamby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881355097 PECOS PAC ID: 0840682977 Enrollment ID: I20220121000607 |
| Provider Name | Shane Matthew Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891413647 PECOS PAC ID: 7719362474 Enrollment ID: I20220922001054 |
| Provider Name | Chad Tyler Winn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720708274 PECOS PAC ID: 5597141952 Enrollment ID: I20221007002860 |
| Provider Name | Amy Elizabeth Blum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639741762 PECOS PAC ID: 1850763939 Enrollment ID: I20230220000242 |
| Provider Name | Samuel Walter Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457046591 PECOS PAC ID: 1254791486 Enrollment ID: I20230719000859 |
| Provider Name | Heather L Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386327351 PECOS PAC ID: 7315393527 Enrollment ID: I20231024004093 |
| Provider Name | Jabari Wilbon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538949466 PECOS PAC ID: 7113376989 Enrollment ID: I20231206001153 |
| Provider Name | Stacey Digiorgio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235875329 PECOS PAC ID: 4284012568 Enrollment ID: I20231206004292 |
| Provider Name | Addison Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700517521 PECOS PAC ID: 5294101390 Enrollment ID: I20231211003485 |
| Provider Name | Julius C Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467225524 PECOS PAC ID: 9537518147 Enrollment ID: I20231222002693 |
| Provider Name | Temitope O Fadumiye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477168243 PECOS PAC ID: 9638528771 Enrollment ID: I20240110004980 |
| Provider Name | Charity J Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871362681 PECOS PAC ID: 4789035098 Enrollment ID: I20240112003935 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Burnie Physical Therapy & Sportscare, Llc 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (252) 248-3313 | Glen Burnie Physical Therapy & Sportscare, Llc 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 Ph: (443) 542-0062 |
Susannah Lynn Coover, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275 | |
Performance Physical Therapy And Sports Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9194 Red Branch Rd Ste J, Columbia, MD 21045 Phone: 410-997-2585 Fax: 410-997-2586 | |
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062 | |
Laura Flynn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113 | |
Ryan Bibeau, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8895 Mcgaw Rd Ste G, Columbia, MD 21045 Phone: 443-441-0616 | |
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 | |
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300 |