| Koth Therapy & Fitness, Llc | |
|
30387 Three Notch Road, Charlotte Hall, MD 20622-3183 | |
| (301) 884-0331 | |
| (301) 472-4388 |
| Full Name | Koth Therapy & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 30387 Three Notch Road, Charlotte Hall, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881722775 | NPI | - | NPPES |
| LN18KO | Other | MD | BCBS |
| 2938436 | Other | MD | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 458R (Maryland) | Primary |
| Provider Name | Christopher Koth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508994484 PECOS PAC ID: 7517025695 Enrollment ID: I20081017000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Koth Therapy & Fitness, Llc Po Box 398, Charlotte Hall, MD 20622-0398 Ph: (301) 884-0331 | Koth Therapy & Fitness, Llc 30387 Three Notch Road, Charlotte Hall, MD 20622-3183 Ph: (301) 884-0331 |
Mrs. Jennifer Houck, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29770 Three Notch Road, Suite 201, Charlotte Hall, MD 20622 Phone: 301-290-0800 Fax: 301-290-1313 | |
Christopher Koth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30387 Three Notch Road, Charlotte Hall, Charlotte Hall, MD 20622 Phone: 301-884-0331 Fax: 301-472-4388 | |
Coordinated Movements Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 Phone: 301-290-0800 Fax: 301-290-1313 | |
Mrs. Laura R Starks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29770 Three Notch Road, Charlotte Hall, MD 20622 Phone: 301-290-0800 Fax: 301-290-1313 | |
Dr. Tara Ann Parsons, PT, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29770 Three Notch Road, Charlotte Hall, MD 20622 Phone: 301-290-0800 Fax: 301-290-1313 | |
Mrs. Randy Susan Demers, LICENSED PHYSICAL TH Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29770 Three Notch Road, Charlotte Hall, MD 20622 Phone: 301-290-0800 Fax: 301-290-1313 |