Ulrica Gregg
Individual provider Active NPI Physical Therapy Assistant · Clarksburg, MD
NPI 1780136432 · NPPES record last updated Oct 28, 2016
Key facts
- NPI
- 1780136432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A3516 (MD)
- Practice address
- 12701 Running Brook Dr
Clarksburg, MD 20871-9449 - Phone
- (240) 477-8680
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3516 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3516 | MD | Yes |
Addresses
Primary practice location
12701 Running Brook Dr
Clarksburg, MD 20871-9449
Mailing address
12701 Running Brook Dr.
Clarksburg, MD 20871
Phone (240) 477-8680
Other providers in Clarksburg, MD
- Gem Home Care , LLC
- Giftie Medical Services
- Good Neighbor Dental
- Graceful Nurture Home Health, LLC
- Alison Grady
- Matthew Grigg
- Alireza Hamidzadeh
- Blerta Hamza
- Patricia Morgan Haney
- Happy Smiles Dental 2, LLC
All providers in Clarksburg, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2016. 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.