| Medstar Health Physical Therapy At Home, Llc. | |
| 10980 Grantchester Way Ste 5211, Columbia, MD 21044-6097 | |
| (443) 690-1037 | |
| (301) 540-5190 | 
| Full Name | Medstar Health Physical Therapy At Home, Llc. | 
|---|---|
| Type | Facility | 
| Speciality | Clinic/center - Rehabilitation | 
| Location | 10980 Grantchester Way Ste 5211, Columbia, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891472684 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary | 
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary | 
| Provider Name | Karen L Koermer | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1538243662 PECOS PAC ID: 6709876733 Enrollment ID: I20040513000268 | 
| Provider Name | Valerie Howard | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1922118868 PECOS PAC ID: 6002917382 Enrollment ID: I20070731000432 | 
| Provider Name | Adwoa Bonsra Boadi | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336260413 PECOS PAC ID: 8224200316 Enrollment ID: I20111014000168 | 
| Provider Name | Shanna Sibiski | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1679853105 PECOS PAC ID: 2668697442 Enrollment ID: I20140711000256 | 
| Provider Name | Rozalyn Kay Moore | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1235101981 PECOS PAC ID: 3779709977 Enrollment ID: I20140724000957 | 
| Provider Name | Donna Hickson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1871723809 PECOS PAC ID: 7618195538 Enrollment ID: I20140905000975 | 
| Provider Name | Chang Min Lee | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1528450897 PECOS PAC ID: 8123349743 Enrollment ID: I20150609000124 | 
| Provider Name | Danielle James | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1447631254 PECOS PAC ID: 9739498825 Enrollment ID: I20151012000268 | 
| Provider Name | Grant Raymond Sullivan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1851758106 PECOS PAC ID: 9335446848 Enrollment ID: I20160329001502 | 
| Provider Name | Samantha Joelle King | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1316397789 PECOS PAC ID: 1355633298 Enrollment ID: I20160713000727 | 
| Provider Name | Darren Joseph | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1740647262 PECOS PAC ID: 9032407812 Enrollment ID: I20161011001385 | 
| Provider Name | Adele Hawley | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336698463 PECOS PAC ID: 7719266162 Enrollment ID: I20161108001250 | 
| Provider Name | Claudia Catano | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1215464086 PECOS PAC ID: 0143599886 Enrollment ID: I20170712000067 | 
| Provider Name | Natalie Rivers | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1174062442 PECOS PAC ID: 5597038158 Enrollment ID: I20170901000099 | 
| Provider Name | Conor Cox | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1235476862 PECOS PAC ID: 2466701628 Enrollment ID: I20180821001985 | 
| Provider Name | Caitlin Mary Mcgee | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1699244103 PECOS PAC ID: 9537403159 Enrollment ID: I20181207000583 | 
| Provider Name | Ruzziel Seguritan Rimbawa | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1962667014 PECOS PAC ID: 1254677909 Enrollment ID: I20190116003639 | 
| Provider Name | Chinwe Okoro | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1235673344 PECOS PAC ID: 8729326947 Enrollment ID: I20190214000449 | 
| Provider Name | David Mcguigan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1922268929 PECOS PAC ID: 4284795030 Enrollment ID: I20190624002080 | 
| Provider Name | Allison Marie Handel | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1790326742 PECOS PAC ID: 9436583077 Enrollment ID: I20200421000562 | 
| Provider Name | Oluwaseun Ajifowobaje | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1619492865 PECOS PAC ID: 7517226392 Enrollment ID: I20210201000067 | 
| Provider Name | Marquis Sanabrais | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1295334878 PECOS PAC ID: 2062827272 Enrollment ID: I20210222001796 | 
| Provider Name | Lisa C Mcdowell | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1346721784 PECOS PAC ID: 6507274503 Enrollment ID: I20210506001667 | 
| Provider Name | Patrice Elleston | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1427728831 PECOS PAC ID: 7810395050 Enrollment ID: I20211001002103 | 
| Provider Name | Jada Mari Boyd | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1902574239 PECOS PAC ID: 9032517057 Enrollment ID: I20211007000114 | 
| Provider Name | Kenneth Patrick Butler | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1073284543 PECOS PAC ID: 0345639928 Enrollment ID: I20211201000014 | 
| Provider Name | Cristina Fontanez -garrison | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1366563439 PECOS PAC ID: 9537555065 Enrollment ID: I20220408000346 | 
| Provider Name | Grayling Harrison | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1720656960 PECOS PAC ID: 8123407731 Enrollment ID: I20220628000373 | 
| Provider Name | Claire Nelson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1235862160 PECOS PAC ID: 6800278169 Enrollment ID: I20220803000057 | 
| Provider Name | Emilee Strange | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1205402013 PECOS PAC ID: 7719387620 Enrollment ID: I20230110003038 | 
| Provider Name | Carly Axman | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1487213195 PECOS PAC ID: 8729450325 Enrollment ID: I20230208000728 | 
| Provider Name | Nikhil Patel | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1588232219 PECOS PAC ID: 4385045541 Enrollment ID: I20230329000667 | 
| Provider Name | Takiara Fowlkes | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1780385575 PECOS PAC ID: 8820453616 Enrollment ID: I20230501001214 | 
| Provider Name | Maria Carmeli Dolorfino | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1861174419 PECOS PAC ID: 2567824659 Enrollment ID: I20231013000244 | 
| Provider Name | Christopher Heydrick | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1720718927 PECOS PAC ID: 4688028343 Enrollment ID: I20231017002382 | 
| Provider Name | Thomas Sutton | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1508912791 PECOS PAC ID: 1658790118 Enrollment ID: I20231024000650 | 
| Provider Name | Kobe Robinson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1578349502 PECOS PAC ID: 7618323676 Enrollment ID: I20231026002950 | 
| Provider Name | Morgan Mcalpin | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1619511292 PECOS PAC ID: 6709219751 Enrollment ID: I20231113003303 | 
| Provider Name | Justin Cooper | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1326101510 PECOS PAC ID: 9436504560 Enrollment ID: I20231114002133 | 
| Provider Name | Kimberly Timberlake Jakubowski | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1457580011 PECOS PAC ID: 8729436134 Enrollment ID: I20231127000039 | 
| Provider Name | Jonathan J Roca | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1255452637 PECOS PAC ID: 1153778741 Enrollment ID: I20231214002178 | 
| Provider Name | Margaret Christine Pruitt | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1386884187 PECOS PAC ID: 2567812142 Enrollment ID: I20231221003953 | 
| Provider Name | Neelesh Katkar | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1447894597 PECOS PAC ID: 0840648564 Enrollment ID: I20240110000923 | 
| Provider Name | Ibrahim Chaz Abdullah | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1104088368 PECOS PAC ID: 2769863331 Enrollment ID: I20240110002146 | 
| Provider Name | Alexis Danielle Shay | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1093379042 PECOS PAC ID: 6103262514 Enrollment ID: I20240313000837 | 
| Provider Name | Julie Pittas | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1154185114 PECOS PAC ID: 6507201761 Enrollment ID: I20240321002938 | 
| Provider Name | Jenny Fritts | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1053083857 PECOS PAC ID: 6103214903 Enrollment ID: I20240322001425 | 
| Provider Name | Ashley Theresa Mclean | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1679332571 PECOS PAC ID: 3678911302 Enrollment ID: I20240401001790 | 
| Provider Name | Udim Isang | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1841650660 PECOS PAC ID: 3072891175 Enrollment ID: I20240403003199 | 
| Provider Name | Gabriel Ukwuoma | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1770156309 PECOS PAC ID: 8729446430 Enrollment ID: I20240418001392 | 
| Provider Name | Maureen Natividad | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1972704831 PECOS PAC ID: 4385017680 Enrollment ID: I20240423003140 | 
| Provider Name | Jay Santos | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336694124 PECOS PAC ID: 4587910138 Enrollment ID: I20240506000888 | 
| Provider Name | Caroline Guinivere Shufford | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1013620202 PECOS PAC ID: 2668812678 Enrollment ID: I20240522000189 | 
| Provider Name | Florida Rodriguez | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1629229190 PECOS PAC ID: 0547606741 Enrollment ID: I20240621000532 | 
| Provider Name | Jared T Johnson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1104310663 PECOS PAC ID: 4284983321 Enrollment ID: I20240621000620 | 
| Provider Name | Jayniece Fedd | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1871107615 PECOS PAC ID: 3779027370 Enrollment ID: I20240726000730 | 
| Provider Name | Loida Borbon-laxamana | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1447732151 PECOS PAC ID: 5193263739 Enrollment ID: I20240821002928 | 
| Provider Name | Rebecca Berkley | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1235351347 PECOS PAC ID: 1759736564 Enrollment ID: I20241028003472 | 
| Provider Name | Cameron Kapec | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1851957575 PECOS PAC ID: 1254668999 Enrollment ID: I20241105002408 | 
| Provider Name | Prathima P Reddy | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336381433 PECOS PAC ID: 4880993468 Enrollment ID: I20241106004262 | 
| Provider Name | Marvin Jered Mathews | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1295557841 PECOS PAC ID: 6901330323 Enrollment ID: I20241108000749 | 
| Provider Name | Deniese Earlene Brock | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1952383077 PECOS PAC ID: 8628503950 Enrollment ID: I20241206000021 | 
| Provider Name | Sheryl Callores Ruben | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1932658523 PECOS PAC ID: 1951838176 Enrollment ID: I20250101000078 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Medstar Health Physical Therapy At Home, Llc. 102 Irving Street, Nw, Attn: John Rockwood, Washington, DC 20010-2921 Ph: (301) 540-6140 | Medstar Health Physical Therapy At Home, Llc. 10980 Grantchester Way Ste 5211, Columbia, MD 21044-6097 Ph: (443) 690-1037 |