| Maximum Performance Physical Therapy, Inc | |
|
1360 Blair Dr, Suite D, Odenton, MD 21113-1343 | |
| (410) 672-8970 | |
| (410) 672-8973 |
| Full Name | Maximum Performance Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1360 Blair Dr, Odenton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558522318 | NPI | - | NPPES |
| 4578031 01 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19310 (Maryland) | Primary |
| Provider Name | Blake Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407972110 PECOS PAC ID: 5799776134 Enrollment ID: I20040524000347 |
| Provider Name | Kathryn Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205253507 PECOS PAC ID: 0345468070 Enrollment ID: I20140821001923 |
| Provider Name | Michael Hunter Kime |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811242415 PECOS PAC ID: 5698925105 Enrollment ID: I20170703001204 |
| Provider Name | Christopher Ryan Merkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720624273 PECOS PAC ID: 2668807926 Enrollment ID: I20200114001849 |
| Provider Name | Ian West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326052515 PECOS PAC ID: 3779545751 Enrollment ID: I20221207000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Maximum Performance Physical Therapy, Inc 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 Ph: (301) 776-3665 | Maximum Performance Physical Therapy, Inc 1360 Blair Dr, Suite D, Odenton, MD 21113-1343 Ph: (410) 672-8970 |
Amanda L Toomer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd Ste 120, Odenton, MD 21113 Phone: 443-481-1140 | |
Dr. Caroline Victoria Vink, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1106 Annapolis Rd Ste 120, Odenton, MD 21113 Phone: 443-481-1140 | |
Mr. Branden Jack Cohen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2637 Streamview Dr, Odenton, MD 21113 Phone: 860-917-7610 | |
Dr. Susan D Luber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 Sunny Chapel Rd, Odenton, MD 21113 Phone: 443-756-2733 | |
Shelia Craig Whiteman, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1106 Annapolis Rd, Odenton, MD 21113 Phone: 301-249-7437 | |
Mrs. Michelle Lynn Andes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1132 Annapolis Rd, Odenton, MD 21113 Phone: 410-672-8091 Fax: 410-672-8094 | |
Lmn-ot Pediatrics Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Annapolis Rd Ste C, Odenton, MD 21113 Phone: 410-305-4837 |