| Ryan Physical Therapy Associates | |
|
1190 Mount Aetna Rd Hagerstown MD 21740-6833 | |
| (301) 797-4572 | |
| (301) 797-4863 |
| Full Name | Ryan Physical Therapy Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 1190 Mount Aetna Rd, Hagerstown, Maryland |
| Authorized Official Name and Position | Stephen Daniel Ryan (PRESIDENT) |
| Authorized Official Contact | 3017974572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Physical Therapy Associates 1190 Mount Aetna Rd Hagerstown MD 21740-6833 Ph: (301) 797-4572 | Ryan Physical Therapy Associates 1190 Mount Aetna Rd Hagerstown MD 21740-6833 Ph: (301) 797-4572 |
| NPI Number | 1932249422 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/20/2013 |
| Medicare PECOS PAC ID | 9335249895 |
|---|---|
| Medicare Enrollment ID | O20070712000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932249422 | NPI | - | NPPES |
| 934400400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15286 (Maryland) | Primary |
| Provider Name | Stephen D Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255327359 PECOS PAC ID: 5698875151 Enrollment ID: I20070712000530 |
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