| Kinesio Physical Therapy And Sports Rehabilitation, Llc | |
|
821 W Benfield Rd, Suite 7, Severna Park, MD 21146-2220 | |
| (443) 994-2640 | |
| Not Available |
| Full Name | Kinesio Physical Therapy And Sports Rehabilitation, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 821 W Benfield Rd, Severna Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073936407 | NPI | - | NPPES |
| 1578634077 | Other | MEDICARE NPI INDIVIDUAL | |
| 320171 | Other | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17817 (Maryland) | Primary |
| Provider Name | Faith K Hagerty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578634077 PECOS PAC ID: 0042284762 Enrollment ID: I20040819001235 |
| Mailing Address | Practice Location Address |
|---|---|
| Kinesio Physical Therapy And Sports Rehabilitation, Llc 418 Red Birch Rd, Millersville, MD 21108-1414 Ph: () - | Kinesio Physical Therapy And Sports Rehabilitation, Llc 821 W Benfield Rd, Suite 7, Severna Park, MD 21146-2220 Ph: (443) 994-2640 |
Dr. Sarah Nadine Sakal, PT, DPT, PCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 650 Ritchie Hwy Ste 103, Severna Park, MD 21146 Phone: 410-647-1961 | |
Kelly Lay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 Baltimore Annapolis Blvd Ste 111, Severna Park, MD 21146 Phone: 410-544-2500 | |
Ms. Jennifer S Angeles, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 Ritchie Hwy, Severna Park, MD 21146 Phone: 443-906-6070 Fax: 443-906-6050 | |
Reed Kroncke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 Sabrina Ln # B, Severna Park, MD 21146 Phone: 410-544-7484 | |
Hayley Lala, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 645 Baltimore Annapolis Blvd Ste 111, Severna Park, MD 21146 Phone: 410-544-2500 Fax: 410-384-9703 | |
Lynn Kitzmiller, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 Ritchie Hwy, Suite 103, Severna Park, MD 21146 Phone: 410-647-1961 Fax: 410-647-8276 |