| O'neill Physical Therapy | |
|
227 N Cleveland Ave Hagerstown MD 21740-5000 | |
| (301) 733-3844 | |
| Not Available |
| Full Name | O'neill Physical Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 N Cleveland Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Todd M Anderson (OWNER) |
| Authorized Official Contact | 3017333844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O'neill Physical Therapy 227 N Cleveland Ave Hagerstown MD 21740-5000 Ph: (301) 733-3844 | O'neill Physical Therapy 227 N Cleveland Ave Hagerstown MD 21740-5000 Ph: (301) 733-3844 |
| NPI Number | 1881737179 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 1850739632 |
|---|---|
| Medicare Enrollment ID | O20240401000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881737179 | NPI | - | NPPES |
| 805304900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| Provider Name | Lynn H Brewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871632695 PECOS PAC ID: 1456380146 Enrollment ID: I20050812000352 |
| Provider Name | Brenda E Desutter Gue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427191709 PECOS PAC ID: 1658410287 Enrollment ID: I20091120000164 |
| Provider Name | Todd M Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871025478 PECOS PAC ID: 6002184025 Enrollment ID: I20170616000053 |
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