Marlene S Gearing, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Joppa, MD
NPI 1164544037 · NPPES record last updated Sep 11, 2015
Key facts
- NPI
- 1164544037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 21418 (MD)
- Practice address
- 913 Scannell CT
Joppa, MD 21085-4103 - Phone
- (410) 510-7406
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21418 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21418 | MD | Yes |
Addresses
Primary practice location
913 Scannell CT
Joppa, MD 21085-4103
Mailing address
913 Scannell CT
Joppa, MD 21085-4103
Phone (443) 939-4320
Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.