Deidre C Verlinden, PT
Individual provider Active NPI Physical Therapist · Frederick, MD
NPI 1255707691 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1255707691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070021723 (IL)
- Practice address
- 163 Thomas Johnson Dr
Frederick, MD 21702-4673 - Phone
- (240) 566-3132
- NPI assigned
- Aug 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021723 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Life & Sports Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
4337 Ebenezer Rd
Nottingham, MD 21236
Phone (410) 529-3003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021723 | IL | Yes |
Addresses
Primary practice location
163 Thomas Johnson Dr
Frederick, MD 21702-4673
Mailing address
163 Thomas Johnson Dr
Frederick, MD 21702-4673
Other providers in Frederick, MD
- Veramentus LLC
- Verbal Beginnings LLC
- Verbal Beginnings LLC
- Verbal Beginnings LLC
- Catherine Verbeten
- Verma Enterprises, P.C.
- Arpana S. Verma
- Devender Verma
- Harmanpreet Kaur Verma
- Jill Marie Verschaetse
All providers in Frederick, 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 26, 2022. 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.