SOMERSET PHYSICAL THERAPY (NPI# 1629476296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629476296 |
| Entity Type | Organization |
| Organization Name | SOMERSET PHYSICAL THERAPY |
| Practice Address |
12302 Somerset Avenue Suite C Princess Anne MD 21853-1312 |
| Mailing Address |
949 Mount Hermon Rd Salisbury MD 21804-5105 |
| Practice Telephone | 4105439000 |
| Practice Fax Number | 4105439033 |
| Mailing Telephone | 4105439000 |
| Mailing Fax Number | 4105439033 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | ROBERT S. BARTOSHESKY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4105439000 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | Y |
| Parent Organization Name | SALISBURY PHYSICAL THERAPY & SPORTS MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
15888 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | S4020001 | 01 |
| MD | 071378300 | 05 |
| Street Address |
12302 SOMERSET AVENUE SUITE C |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625294 | Rekinetic Physical Therapy & Wellness, LLC | Physical Therapist | 2413 Eastern Ave Apt 301, Baltimore, MD 21224-3768 | 2020-03-25 |
| 1285282293 | Stephanie Hamilton | Physical Therapist | 1202 Rising Ridge Rd, Mount Airy, MD 21771-7525 | 2019-09-03 |
| 1679071278 | Elizabeth Anne Hatch | Physical Therapist | 11711 Galt Ave, Silver Spring, MD 20902-2709 | 2018-01-29 |
| 1487109740 | 360 Rehab & Wellness LLC | Physical Therapist | 11840 W Market Pl Ste G, Fulton, MD 20759-2619 | 2016-08-16 |
| 1467513978 | Chesapeake Physical Aquatic Therapy Inc | Physical Therapist | 7080 Deepage Dr, Columbia, MD 21045-5219 | 2006-12-12 |
| 1922118868 | Valerie Howard | Physical Therapist | 5961 Exchange Dr Ste 100, Eldersburg, MD 21784 | 2006-08-30 |
| 1720562069 | Proformance Sports Rehabilitation | Physical Therapist | 2637 Streamview Dr, Odenton, MD 21113-1579 | 2018-09-22 |
| 1558889857 | Mind Over Matter Health Services, Inc | Physical Therapist | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| 1174079321 | Potomac Physical Therapy and Sports Medicine, LLC | Physical Therapist | 7811 Montrose Rd, Suite 350, Potomac, MD 20854-3363 | 2016-08-28 |
| 1588012355 | Christopher John Burton | Physical Therapist | 10540 York Rd, Suite F-g, Cockeysville, MD 21030-2300 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
Please comment or provide details below to improve the information on SOMERSET 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.