Drayer Physical Therapy of Maryland LLC
Organization Active NPI Physical Therapist · Forest Hill, MD
NPI 1184049967 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1184049967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY OF MARYLAND LLC
- Practice address
- 1694 Water Tower Way Ste 107
Forest Hill, MD 21050-1774 - Phone
- (410) 420-2257
- Fax
- (410) 420-2267
- NPI assigned
- Mar 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Thomas Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Other NPIs on the same Medicare enrollment 6
Member of 1
Practitioners 57
-
Kathleen Marie Boltz, PT, DPT
-
Samantha Nicole Boyce, PT, DPT
-
Joshua P Budai, DPT
-
Nicole Marie Compher, DPT
-
Molly Maureen Harding, PT, DPT
-
Heather Harris, PT
-
Angela Hartman, OTD, OTR/L
-
Kristin Pupa Jacono, DPT
-
Lauren Lea, MOT
-
Haley Rochelle Luis, DPT
-
Karli Maguire, DPT
-
Adam S Palmer, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140602000154 | MD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3173746609 |
Receives reassigned benefits from 57 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aberdeen, MD; Baltimore, MD; Bel Air, MD; Cockeysville, MD; Elkton, MD; Fallston, MD; Forest Hill, MD; Fulton, MD… |
National Provider Directory
Locations
132 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 398-1221
2735B Fallston Rd
Fallston, MD 21047
Phone (443) 853-8688
1694 Water Tower Way
Ste 107
Forest Hill, MD 21050
Phone (410) 420-2257
40 E Ordnance Rd
Ste D
Glen Burnie, MD 21060
Phone (443) 545-1040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1694 Water Tower Way Ste 107
Forest Hill, MD 21050-1774
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Forest Hill, MD
- Tatum Digiovanni
- Sylvie Amelie Djatang
- Nicholas Donis
- Jessica Nicole Donovan
- Dr. H. Pats Neurological Testing, Chartered
- Taylor Ann Dudley
- James T Dulkerian
- Kossivi Eble
- Charles Bryan Ebner
- Elevate Behavioral Heath Services
All providers in Forest Hill, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. 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.