| Mr James A Lauder, PT | |
|
21907 Westernport Rd Sw, Westernport, MD 21562-2235 | |
| (301) 786-4171 | |
| (301) 786-4203 |
| Full Name | Mr James A Lauder |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 21907 Westernport Rd Sw, Westernport, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629102561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19198 (Maryland) | Primary |
| Provider Name | Generations Rehab Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891411518 PECOS PAC ID: 4385015247 Enrollment ID: O20230201000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James A Lauder, PT 112 Victoria Ln, Frostburg, MD 21532-1445 Ph: (301) 268-9995 | Mr James A Lauder, PT 21907 Westernport Rd Sw, Westernport, MD 21562-2235 Ph: (301) 786-4171 |
Stephen Douglas Felton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21907 Westernport Rd Sw, Westernport, MD 21562 Phone: 301-786-4171 Fax: 717-635-3377 | |
Swetha Nimmala, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21907 Westernport Rd Sw, Ste 1, Westernport, MD 21562 Phone: 301-786-4171 | |
Westernport Health Care Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25701 Shady Ln Sw, Westernport, MD 21562 Phone: 301-359-3000 |