Samuel Walter Allison
Individual provider Active NPI Physical Therapist · Nottingham, MD
NPI 1457046591 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1457046591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 29469 (MD)
- Practice address
- 7629 Belair Rd
Nottingham, MD 21236-4003 - Phone
- (410) 870-2104
- Fax
- (410) 870-6896
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maryland Sportscare and Rehab LLC
Practice addresses (Care Compare)
7629 Belair Rd
Nottingham, MD 21236-4003
Phone (410) 870-2104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719000859 | MD | Practitioner - Physical Therapist in Private Practice | 1254791486 | Reassigns benefits to 4 organizations |
| I20230719001081 | DC | Practitioner - Physical Therapist in Private Practice | 1254791486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current |
Accepting new patients |
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
7711 Quarterfield Rd
Ste C2
Glen Burnie, MD 21061
Phone (410) 487-6447
14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203
7629 Belair Rd
Nottingham, MD 21236
Phone (410) 870-2104
3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
7 W Ridgely Rd
Ste A
Timonium, MD 21093
Phone (443) 274-5368
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29469 | MD | Yes |
Addresses
Primary practice location
7629 Belair Rd
Nottingham, MD 21236-4003
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other practice location 1
7711 Quarterfield Rd Ste C2
Glen Burnie, MD 21061-4591
Phone (410) 487-6447
Other providers in Nottingham, MD
- Akeso Orafacial Maxillary Surgery
- Sylvianne Akum
- Michael Arends Alksnis
- Ania Allen
- Margot Allen
- Alyssa Alspach
- Onosereme Fidelia Amadi-Emina
- Charles Amadi
- Amani Enterprises Incorporated
- Amazing Grace Home Care LLC
All providers in Nottingham, 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 Nov 19, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.