| Mrs Ellen M Hangen, PT | |
|
4337 Ebenezer Rd, Nottingham, MD 21236-2143 | |
| (410) 529-3303 | |
| (410) 529-7980 |
| Full Name | Mrs Ellen M Hangen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 4337 Ebenezer Rd, Nottingham, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770674418 | NPI | - | NPPES |
| 60312 | Other | MD | OPTIMUM CHOICE/MAMSI |
| 61770302 | Other | MD | CAREFIRST OF MD |
| F5170008 | Other | MD | GHMSI |
| P00231190 | Other | MD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 20700 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Active Life And Sports Therapy Llc | 5193711927 | 11 |
| Provider Name | Active Life & Sports Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396836052 PECOS PAC ID: 5193711927 Enrollment ID: O20040426000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ellen M Hangen, PT Po Box 154, Chase, MD 21027-0154 Ph: (410) 335-0159 | Mrs Ellen M Hangen, PT 4337 Ebenezer Rd, Nottingham, MD 21236-2143 Ph: (410) 529-3303 |
Nathan Dixon Mcclain, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd Ste 130a, Nottingham, MD 21236 Phone: 443-442-2800 | |
Beverly G. Flores, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236 Phone: 410-529-0348 | |
Jasmin Eusebio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236 Phone: 352-732-5590 | |
Erika Sachiko Takahashi, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236 Phone: 410-933-7628 | |
Leonilo Fajardo Pallasigui, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236 Phone: 443-301-3422 | |
Dr. Hannah Marie Vaca, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236 Phone: 410-955-5000 | |
Nicole Christine Sandruck, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 |