A Time to Heal Physical Therapy, LLC
Organization Active NPI Physical Therapy Clinic/Center · Cambridge, MD
NPI 1922454065 · NPPES record last updated May 8, 2016
Key facts
- NPI
- 1922454065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 20096 (MD)
- Legal business name
- A TIME TO HEAL PHYSICAL THERAPY, LLC
- Practice address
- 1805 Hudson Rd
Cambridge, MD 21613-3350 - Phone
- (410) 330-9425
- NPI assigned
- May 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Sara A Lettelleir, DPT
- Title
- Owner
- Phone
- (410) 330-9425
Practitioners 1
-
Sara Ann Lettelleir, PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160719000061 | MD | Part B Supplier - Clinic/Group Practice | 3476846106 |
Receives reassigned benefits from 1 practitioner Practice locations: Easton, MD; Cambridge, MD |
National Provider Directory
Locations
32 S Washington St
Ste 4
Easton, MD 21601
Phone (410) 330-9425
8133 Elliott Rd
Ste 203
Easton, MD 21601
Phone (410) 330-9425
8737 Brooks Dr
Ste 103
Easton, MD 21601
Phone (410) 310-5584
8737 Brooks Dr
Ste 102
Easton, MD 21601
Phone (410) 330-9425
8707 Commerce Dr
Ste G
Easton, MD 21601
Phone (410) 330-9425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 20096 | MD | Yes |
Addresses
Primary practice location
1805 Hudson Rd
Cambridge, MD 21613-3350
Mailing address
1805 Hudson Rd
Cambridge, MD 21613-3350
Phone (410) 330-9425
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All providers in Cambridge, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.