| Elite Performance Lab, Llc | |
|
40 W Main St, New Market, MD 21774-6290 | |
| (240) 529-7987 | |
| Not Available |
| Full Name | Elite Performance Lab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 40 W Main St, New Market, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942035282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michelle L Starks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952338022 PECOS PAC ID: 1557362092 Enrollment ID: I20070130000584 |
| Provider Name | Kimberly Chandler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659667434 PECOS PAC ID: 9537545454 Enrollment ID: I20220929003802 |
| Provider Name | Madison Elaine Angus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437725512 PECOS PAC ID: 4688109424 Enrollment ID: I20250113001505 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Performance Lab, Llc 7031 Eaglehead Dr, New Market, MD 21774-6875 Ph: (240) 529-7987 | Elite Performance Lab, Llc 40 W Main St, New Market, MD 21774-6290 Ph: (240) 529-7987 |
Kristen Joyce, Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 W Main St, New Market, MD 21774 Phone: 410-205-6197 | |
Tara Ebersole, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11670 Old National Pike Ste 101, New Market, MD 21774 Phone: 301-473-5945 | |
Mrs. Stephanie Renee Dunker, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 Edgewood Rd, New Market, MD 21774 Phone: 240-405-5098 | |
Marc Schoettle, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11704 Barn Swallow Way, New Market, MD 21774 Phone: 610-547-6384 |