POOLESVILLE PHYSICAL THERAPY (NPI# 1396880100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396880100 |
| Entity Type | Organization |
| Organization Name | POOLESVILLE PHYSICAL THERAPY |
| Practice Address |
19628 Fisher Ave Poolesville MD 20837-2065 |
| Practice Telephone | 3013495443 |
| Practice Fax Number | 3013492074 |
| Mailing Telephone | 3013495443 |
| Mailing Fax Number | 3013492074 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MRS. PATRICIA KAPSIAK HESS (OWNER) |
| Authorized Official Telephone | 3013495443 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
15401 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | 15401 | 01 |
| Street Address |
19628 FISHER AVE |
| City | POOLESVILLE |
| State | MD |
| Zip Code | 20837-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093858441 | Patricia Kapsiak Hess | Physical Therapist | 19628 Fisher Ave, Poolesville, MD 20837-2065 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164500864 | Robin Mevissen | Optometrist | 20005 B Fisher Ave, Poolesville, MD 20837 | 2006-11-01 |
| 1790953065 | Poolesville Family Practice LLC | Family Medicine | 19710 Fisher Ave, Suite J, Poolesville, MD 20837-0108 | 2008-02-20 |
| 1407848823 | Hector Castro Asuncion | Family Medicine | 17600 W Willard Rd, Poolesville, MD 20837-2007 | 2005-08-22 |
| 1245527522 | Richard G Wyne | Dentist | 19908 Spurrier Ave, Poolesville, MD 20837-2017 | 2011-07-07 |
| 1154826766 | Charles Thomae Jones II | Social Worker | 17208 Whites Rd, Poolesville, MD 20837-2029 | 2018-03-26 |
| 1689778524 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 19594 Fisher Ave, Poolesville, MD 20837-2069 | 2006-09-12 |
| 1538568357 | Robert Maletta | Pharmacist | 19594 Fisher Ave, Poolesville, MD 20837-2069 | 2014-08-18 |
| 1487068417 | Kirsten Vieira | Pharmacist | 19594 Fisher Ave, Poolesville, MD 20837-2069 | 2014-06-18 |
| 1891821906 | Drs. Pike & Valega, PC | Dentist | 19601 Fisher Ave, Poolesville, MD 20837-2071 | 2007-02-25 |
| 1598165748 | Sang Kim | Acupuncturist | 19900 Fisher Ave, Poolesville, MD 20837-2077 | 2014-08-25 |
| Find all providers in zip 20837 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | POOLESVILLE |
| Zip Code | 20837 |
Please comment or provide details below to improve the information on POOLESVILLE PHYSICAL THERAPY.
| 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.