Physiotherapy Associates - Union Rehab LLC
Organization Active NPI Physical Therapy Clinic/Center · Rising Sun, MD
NPI 1104926971 · NPPES record last updated Jun 24, 2010
Key facts
- NPI
- 1104926971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- PHYSIOTHERAPY ASSOCIATES - UNION REHAB LLC
- Practice address
- 223 E. Main St
Suite B
Rising Sun, MD 21911-1657 - Phone
- (410) 658-5500
- Fax
- (410) 658-3910
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jayne Fleck Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Other NPIs on the same Medicare enrollment 9
Practitioners 2
-
Dominick Joseph Guessford, P.T.A., A.T.C.
-
Daniel L Rosman, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070822000224 | MD | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 6305938432 |
9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cecilton, MD; Havre de Grace, MD; Elkton, MD |
National Provider Directory
Locations
223 E Main St
#B
Rising Sun, MD 21911
Phone (410) 658-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
223 E. Main St
Suite B
Rising Sun, MD 21911-1657
Mailing address
PO Box 1245
Indiana, PA 15701-5245
Phone (724) 465-3496
Other names
- Physiotherapy Associates
Other providers in Rising Sun, MD
- New Day Support Services
- Michelle Kristen Nimmo
- Osborne Mental Wellness
- Jennifer Perry
- Kaitlan Phillips
- Jonathan Michael Pilgrim
- Antonio Eacdine Pomponi
- Razullah Khwaja, M.D.
- Rising Wellness Counseling LLC
- Rodney P. Donham, D.O.
All providers in Rising Sun, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.