LAURA TIFFANY MEDINA (NPI# 1245676097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245676097 |
| Entity Type | Individual |
| Full Name | LAURA TIFFANY MEDINA |
| Credential | PT |
| Practice Address |
4337 Ebenezer Rd Nottingham MD 21236-2143 |
| Mailing Address |
209 N Luzerne Ave Baltimore MD 21224-1115 |
| Practice Telephone | 4105293303 |
| Mailing Telephone | 9179751066 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 23349 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS BLUE SHIELD OF MARYLAND | F517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841492 | Laura Medina | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2018-12-04 |
| 1922580430 | Laura Yesenia Medina | Specialist/Technologist | 1221 W Whittier Blvd, Montebello, CA 90640-4642 | 2018-08-30 |
| 1053859579 | Laura Medina | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-02-03 |
| 1548652076 | Laura Medina | Registered Nurse | 6162 S Willow Dr, Ste 100, Greenwood Village, CO 80111-5113 | 2015-02-20 |
| 1033357942 | Laura T Medina | Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321 | 2009-01-30 |
| Street Address |
4337 EBENEZER RD |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770674418 | Ellen M Hangen | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2006-09-27 |
| 1760098792 | Seth M Donelson | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2020-09-16 |
| 1679198329 | Katherine P Breeze | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2020-06-09 |
| 1699304063 | Joshua Elias Haffner | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2020-04-07 |
| 1841826807 | Alexandra Lynn Chaney | Physical Therapy Assistant | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2020-03-20 |
| 1407402936 | Michael C Foley | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2019-08-12 |
| 1538610985 | Alexandra A Zeno | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2016-10-20 |
| 1255712261 | Brooke Nicole Janicky | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2015-06-16 |
| 1396092375 | Glascow P Tennille Jr. | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2012-08-09 |
| 1427323294 | Meghan M Musick | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2012-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135638 | Leonilo Fajardo Pallasigui | Physical Therapist | 4223 Chapel Rd Apt 201, Nottingham, MD 21236-7613 | 2020-05-17 |
| 1053946012 | Jasmin Eusebio | Physical Therapist | 4940 Campbell Blvd, Nottingham, MD 21236-5900 | 2020-03-10 |
| 1811537814 | Agape Physical Therapy & Sports Rehabilitation Lp | Physical Therapist | 5301 Campbell Blvd, Nottingham, MD 21236-5029 | 2020-01-08 |
| 1972086601 | Felicisimo Infante | Physical Therapist | 7711 Nicole Grace Dr, Nottingham, MD 21236-4069 | 2018-09-10 |
| 1871087551 | Jake Simon | Physical Therapist | 22 Berry Rd, Nottingham, NH 03290-5402 | 2018-06-18 |
| 1750746483 | Khepera Iandiataiyero | Physical Therapist | 4011 Marjeff Pl, Apt C, Nottingham, MD 21236-4514 | 2015-12-23 |
| 1629446984 | Dynamic Therapy Services LLC | Physical Therapist | 7629 Belair Rd, Nottingham, MD 21236-4003 | 2015-09-03 |
| 1417355439 | Raul Namo | Physical Therapist | 9533 Hickoryhurst Dr, Nottingham, MD 21236-4705 | 2014-12-08 |
| 1861821258 | Rakesh K Shah | Physical Therapist | 7912 Marfield Pl, Apt--h, Nottingham, MD 21236-3627 | 2013-11-06 |
| 1891864575 | Alexandra Simonne Beem | Physical Therapist | 3501 Taylor Ave, Nottingham, MD 21236-4406 | 2006-11-07 |
| Find all providers in NOTTINGHAM | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.