| 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 |