| Eaman Physical Therapy, Llc | |
|
19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 | |
| (240) 724-6781 | |
| (888) 607-7117 |
| Full Name | Eaman Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 19785 Crystal Rock Dr Ste 309, Germantown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801122916 | NPI | - | NPPES |
| 560070701 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 23069 (Maryland) | Primary |
| Provider Name | Janet R Lebantino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407180417 PECOS PAC ID: 3971642471 Enrollment ID: I20091123000107 |
| Provider Name | Lisa Marie Euliss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396018594 PECOS PAC ID: 3274796750 Enrollment ID: I20120521000105 |
| Provider Name | Tracy A Vaught |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174528731 PECOS PAC ID: 6103140751 Enrollment ID: I20160616000513 |
| Provider Name | Sneha Nair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255615399 PECOS PAC ID: 3678727252 Enrollment ID: I20160929000659 |
| Provider Name | Anjita K Khadka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124545124 PECOS PAC ID: 6305102195 Enrollment ID: I20171110001486 |
| Provider Name | Steven Matlak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730538166 PECOS PAC ID: 7214292481 Enrollment ID: I20180521001084 |
| Provider Name | Joseph Regan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194941740 PECOS PAC ID: 0345585220 Enrollment ID: I20181220002711 |
| Provider Name | Efrahim Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942886908 PECOS PAC ID: 1456750801 Enrollment ID: I20220224001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Eaman Physical Therapy, Llc 19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 Ph: (240) 724-6781 | Eaman Physical Therapy, Llc 19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 Ph: (240) 724-6781 |