| Levi D Custis, DPT | |
|
11070 Cathell Rd, Unit 4, Berlin, MD 21811-9344 | |
| (410) 208-3630 | |
| (410) 208-3632 |
| Full Name | Levi D Custis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 11070 Cathell Rd, Berlin, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528483054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Delaware) | Secondary |
| 225100000X | Physical Therapist | 24897 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Physical Therapy Llc | 9133116411 | 49 |
| Phoenix Rehabilitation And Health Services Of Delaware Inc | 0749349231 | 20 |
| Provider Name | Progressive Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659553535 PECOS PAC ID: 9133116411 Enrollment ID: O20191021000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Levi D Custis, DPT 408 Camden Ave, Salisbury, MD 21801-5304 Ph: (410) 208-3630 | Levi D Custis, DPT 11070 Cathell Rd, Unit 4, Berlin, MD 21811-9344 Ph: (410) 208-3630 |
Gary Short, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11204 Racetrack Rd Ste 101, Berlin, MD 21811 Phone: 410-208-1525 Fax: 410-208-1527 | |
Martin Weinstein, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave Ste 405, Berlin, MD 21811 Phone: 410-641-2900 Fax: 410-641-2914 | |
Mr. Charles Curran, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11070 Cathell Rd, Suite 4, Berlin, MD 21811 Phone: 410-208-3630 | |
Delmarva Pt Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10452 Old Ocean City Blvd Unit 10, Berlin, MD 21811 Phone: 443-206-0502 | |
Aimee Barnes, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-641-4400 Fax: 410-641-9465 | |
Joshua C Hefta, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10452 Old Ocean City Blvd Unit 10, Berlin, MD 21811 Phone: 410-575-4569 | |
Mrs. Monica Ann Edelmann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave, Suite 405, Berlin, MD 21811 Phone: 410-641-2900 Fax: 410-641-2914 |