Dan Abellanosa, P.T.
Individual provider Active NPI Physical Therapist · Randallstown, MD
NPI 1992074504 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1992074504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 18357 (MD)
- Practice address
- 8660 Liberty Rd
Randallstown, MD 21133-4707 - Phone
- (410) 922-2300
- Fax
- (410) 922-8045
- NPI assigned
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 18357 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Injury Treatment Center of Maryland,LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18357 | MD | Yes |
Addresses
Primary practice location
8660 Liberty Rd
Randallstown, MD 21133-4707
Mailing address
8660 Liberty Rd
Randallstown, MD 21133-4707
Phone (410) 922-2300
Other providers in Randallstown, MD
- A Better Me Now LLC
- A Womans Choice OB GYN LLC
- Aaron Home Health Care Services LLC
- Ab Behavioral Health Services
- Ab Healthcare Systems Inc
- Abundant Grace Health Care Inc.
- Abundant Life Nursing Services Inc.
- Abundant Living Limited Liability Company
- Active Day MD, Inc.
- Acupuncture Works LLC
All providers in Randallstown, 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 Dec 28, 2011. 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.