Mary Carlson, PT
Individual provider Active NPI Physical Therapist · Potomac, MD
NPI 1811223027 · NPPES record last updated Oct 22, 2009
Key facts
- NPI
- 1811223027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20508 (MD)
- Practice address
- 11215 Seven Locks Rd
Potomac, MD 20854-3260 - Phone
- (301) 983-1390
- Fax
- (301) 983-1498
- NPI assigned
- Oct 22, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 20508 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20508 | MD | Yes |
Addresses
Primary practice location
11215 Seven Locks Rd
Potomac, MD 20854-3260
Mailing address
11215 Seven Locks Rd
Potomac, MD 20854-3260
Phone (301) 983-1390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20508 | Other | MD | PT LICENSE |
Other providers in Potomac, MD
- Capital Children'S Wellness Center
- Capital Home Care LLC
- Capital Physical Health Services, LLC
- Capital Stroke Neurology Inc
- Caring Hearts Care LLC
- Steven Carreras
- Diana Carter
- Centers for Advanced Orthopaedics, LLC
- Fonghsien Lu Chang
- Heng-CHI Chang
All providers in Potomac, 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 Oct 22, 2009. 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.