| Manolo Carlos, DPT | |
|
75 Thomas Johnson Dr Ste M, Frederick, MD 21702-4895 | |
| (301) 698-9761 | |
| Not Available |
| Full Name | Manolo Carlos |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 75 Thomas Johnson Dr Ste M, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891003778 | NPI | - | NPPES |
| 19731 | Other | MD | MD LICENSE |
| 1063669927 | Other | MD | NPI GROUP |
| 263150124 | Other | MD | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19731 (Maryland) | Primary |
| Provider Name | Maryland Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
| Provider Name | Pivot Physical Therapy Of Central Maryland Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477211704 PECOS PAC ID: 3173051042 Enrollment ID: O20250113000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Manolo Carlos, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Manolo Carlos, DPT 75 Thomas Johnson Dr Ste M, Frederick, MD 21702-4895 Ph: (301) 698-9761 |
Maryland Sportscare & Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 Fax: 301-620-7479 | |
Occupational Therapy Consulting, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47 E South St, Suite 01-a, Frederick, MD 21701 Phone: 240-457-9558 Fax: 240-415-9200 | |
James R. Bucklin Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Partners Ct Ste B, Frederick, MD 21703 Phone: 301-732-4754 | |
Michelle Kaminski Vaziri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Montevue Lane, Frederick, MD 21702 Phone: 240-446-8853 | |
Michelle Sung, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 583 Hillcrest Dr, Frederick, MD 21703 Phone: 240-454-3731 | |
Erin Roosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 | |
Mr. Thomas Michael Stief, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 626 Trail Ave, Frederick, MD 21701 Phone: 301-662-1997 Fax: 301-668-2202 |