| Smith & Prothero Physical Therapy Llc | |
|
807a S Union Ave, Havre De Grace, MD 21078-3610 | |
| (410) 939-2262 | |
| (410) 939-7119 |
| Full Name | Smith & Prothero Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 807a S Union Ave, Havre De Grace, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942200621 | NPI | - | NPPES |
| CB2775 | Other | MD | RAILROAD MEDICARE |
| LS73SM | Other | MD | CAREFIRST BC/BS |
| 5874017-00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Raymond Wesley Cooper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073579744 PECOS PAC ID: 6800802331 Enrollment ID: I20060221000703 |
| Provider Name | Anthony M Malek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437113081 PECOS PAC ID: 7416959192 Enrollment ID: I20070208000592 |
| Provider Name | Rick N Prothero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306846985 PECOS PAC ID: 7214943760 Enrollment ID: I20101020000517 |
| Provider Name | William C Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396745469 PECOS PAC ID: 4183719925 Enrollment ID: I20101110001217 |
| Provider Name | Kelly Fulp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023044302 PECOS PAC ID: 9638350671 Enrollment ID: I20110223000709 |
| Provider Name | Laura Hummel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538603170 PECOS PAC ID: 1759612575 Enrollment ID: I20191009001842 |
| Provider Name | Amanda Lynn Schmuff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134312002 PECOS PAC ID: 9032536479 Enrollment ID: I20200831000633 |
| Provider Name | Joanne Kassimir |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417907783 PECOS PAC ID: 8527272947 Enrollment ID: I20201008002915 |
| Provider Name | Joanna Frank |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962816215 PECOS PAC ID: 1254748692 Enrollment ID: I20210331000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Smith & Prothero Physical Therapy Llc 807a S Union Ave, Havre De Grace, MD 21078-3610 Ph: (410) 939-2262 | Smith & Prothero Physical Therapy Llc 807a S Union Ave, Havre De Grace, MD 21078-3610 Ph: (410) 939-2262 |
Mrs. Kelly Fulp, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 | |
Madison Brooke Tamberino, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 410-939-8530 | |
Mr. Donovan Rochlitz Clifford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2027 Pulaski Hwy, Ste 119, Havre De Grace, MD 21078 Phone: 410-939-0520 | |
Morgan Day, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Blenhiem Farm Ln, Havre De Grace, MD 21078 Phone: 410-939-9300 | |
Mr. Rick Nelson Prothero, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807a S Union Ave, Havre De Grace, MD 21078 Phone: 410-939-2262 Fax: 410-939-7119 | |
Mrs. Cynthia Mathewson Olivacz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 Fax: 410-939-0530 | |
Dr. Audrey Werneke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 866-370-8206 Fax: 410-939-8534 |