HERITAGE HARBOUR PHYSICAL THERAPY LLC (NPI# 1235643305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235643305 |
| Entity Type | Organization |
| Organization Name | HERITAGE HARBOUR PHYSICAL THERAPY LLC |
| Practice Address |
1783 Forest Dr # 307 Annapolis MD 21401-4229 |
| Practice Telephone | 5712083099 |
| Mailing Telephone | 5712083099 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | JEFFREY MITCHELL (MEMBER) |
| Authorized Official Telephone | 5712083099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
17650 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1783 FOREST DR # 307 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235325424 | Susan Mitchell | Physical Therapist | 1783 Forest Dr # 307, Annapolis, MD 21401-4229 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916843 | Personal Touch Medical Spa LLP | Physical Therapist | 1450 Mercantile Lane Suite 221, Largo, MD 20774 | 2017-08-01 |
| 1740715168 | Olugbolahan Anifowose | Physical Therapist | 669 Wilbur Sq, Owings Mills, MD 21117-2479 | 2017-04-23 |
| 1720439714 | Margaret Henry | Physical Therapist | 5708 Stonington Ave, Baltimore, MD 21207-6859 | 2016-06-30 |
| 1255781407 | Rodel Dapul | Physical Therapist | 5500 Overlook Cir, White Marsh, MD 21162-3414 | 2016-06-20 |
| 1073926598 | Sheetal Khadsare | Physical Therapist | 8560 2nd Ave, Apt 1010, Silver Spring, MD 20910-6300 | 2014-06-03 |
| 1649600032 | April Hilario | Physical Therapist | 8433 Winding Trl, Laurel, MD 20724-1435 | 2013-11-20 |
| 1689002388 | Calice Warlock | Physical Therapist | 6951 Mayfair Ter, Laurel, MD 20707-5215 | 2013-10-16 |
| 1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
| 1629323894 | Onyango E Nyunja | Physical Therapist | 7808 Polara Pl, Rockville, MD 20855-2044 | 2012-07-13 |
| 1417263849 | Lakeisha Nicole Swan | Physical Therapist | 5106 Back Stretch Blvd, Upper Marlboro, MD 20772-2970 | 2010-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.