Steven Craig Kunkel Jr., PT, OCS, COMT
Individual provider Active NPI Physical Therapist · Elkton, MD
NPI 1467530865 · NPPES record last updated Nov 26, 2014
Key facts
- NPI
- 1467530865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20117 (MD)
- Practice address
- 9 South Bridge Street Plaza
Elkton, MD 21921-8707 - Phone
- (410) 392-0800
- Fax
- (410) 392-0815
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Rehab at Home, Inc.
Practice addresses (Care Compare)
227 Bank St
Chesapeake City, MD 21915-1016
Phone (410) 392-2731
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126000216 | MD | Practitioner - Physical Therapist in Private Practice | 4385736347 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20117 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Total Rehab at Home, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
| Ati Holdings, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
139 E High St
Elkton, MD 21921
Phone (410) 392-2731
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20117 | MD | Yes |
Addresses
Primary practice location
9 South Bridge Street Plaza
Elkton, MD 21921-8707
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Elkton, MD
- Sophia Kotliar
- Felicia Kriner
- Jessica Lynn Krummel
- Bhavna K Kumar
- Jagadeesh S V Kumar
- Eugene Tenkang Kwachuh
- Labic Pharmacy Services LLC
- Gladys Lacey
- Thomas Eugene Lajudice
- Amy R Lake
All providers in Elkton, 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 26, 2014. 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.