Nicastor Anotado Jr, PT

Individual provider Active NPI Physical Therapist · Solomons, MD

NPI 1861883472 · NPPES record last updated Feb 18, 2015

Key facts

NPI
1861883472
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
24389 (MD)
Practice address
11100 Asbury Cir
Solomons, MD 20688-3004
Phone
(410) 394-3066
NPI assigned
Feb 18, 2015
Sex
Male
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

LicenseStateTypeSpecialty
24389MDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24389 MD Yes

Addresses

Primary practice location

11100 Asbury Cir
Solomons, MD 20688-3004

Mailing address

23500 S Patuxent Beach Rd
California, MD 20619-4213
Phone (954) 822-4304

Other providers in Solomons, MD

All providers in Solomons, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.