Pediatric Mobility, LLC
Organization Active NPI Pediatric Physical Therapist · Bel Air, MD
NPI 1235258989 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1235258989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 20049 (MD)
- Legal business name
- PEDIATRIC MOBILITY, LLC
- Practice address
- 402 Poplar Grove PL
Bel Air, MD 21014-2768 - Phone
- (410) 638-0973
- Fax
- (410) 727-2186
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Jessica Lynn Maher, PT MSPT
- Title
- Physical Therapist Owner
- Phone
- (410) 638-0973
Practitioners 4
-
Erin Patricia Frazier, OTR/L
-
Jessica Lynn Maher, PT, MSPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist |
2251P0200X | 20049 | MD | Yes |
Addresses
Primary practice location
402 Poplar Grove PL
Bel Air, MD 21014-2768
Mailing address
402 Poplar Grove PL
Bel Air, MD 21014-2768
Phone (410) 638-0973
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 704159 | Other | MD | UNITED HEALTHCARE |
| 18KB | Other | MD | BLUE CROSS BLUE SHIELD |
| 51490001 | Other | MD | BLUE CHOICE |
| 7581819 | Other | MD | AETNA |
Other providers in Bel Air, MD
- Julie Paul
- Pax Inc.
- Payam Hariri, D.M.D., P.a.
- Payam Nourmand DDS PC
- Barbara Ann Payne
- Pediatric Partners LLC
- Pediatric Partners LLC
- Amy Ebel Peet
- Katherine Peitsch
- Nicole Lyn Peloquin
All providers in Bel Air, MD · Pediatric 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 Aug 22, 2020. 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.