| Nicole Christine Sandruck, | |
|
7629 Belair Rd, Nottingham, MD 21236-4003 | |
| (410) 870-2104 | |
| Not Available |
| Full Name | Nicole Christine Sandruck |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 7629 Belair 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 |
|---|---|---|---|
| 1083309504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29443 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peake Physical Therapy Inc | 8628216041 | 14 |
| Provider Name | Maryland Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Christine Sandruck, 8200 Evergreen Dr, Baltimore, MD 21234-5509 Ph: (443) 529-6434 | Nicole Christine Sandruck, 7629 Belair Rd, Nottingham, MD 21236-4003 Ph: (410) 870-2104 |
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 |