| Stride Physical Therapy | |
|
13 Cedarcone Ct, Nottingham, MD 21236-1675 | |
| (301) 706-0612 | |
| Not Available |
| Full Name | Stride Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13 Cedarcone Ct, Nottingham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912856725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Stride Physical Therapy 13 Cedarcone Ct, Nottingham, MD 21236-1675 Ph: (443) 212-8091 | Stride Physical Therapy 13 Cedarcone Ct, Nottingham, MD 21236-1675 Ph: (301) 706-0612 |
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: Accepting Medicare Assignments 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 |