PEACOCK PHYSICAL THERAPY SERVICES LLC (NPI# 1881934453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881934453 |
| Entity Type | Organization |
| Organization Name | PEACOCK PHYSICAL THERAPY SERVICES LLC |
| Practice Address |
11813 Park Waldorf Ln Ste 522 Waldorf MD 20601 |
| Mailing Address |
Po Box 1066 Waldorf MD 20604-1066 |
| Practice Telephone | 2407188103 |
| Mailing Telephone | 2407188103 |
| Mailing Fax Number | 4437290619 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | DR. JANINE PEACOCK (OWNER) |
| Authorized Official Telephone | 2407188103 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11813 PARK WALDORF LN STE 522 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891959334 | Janine Peacock | Physical Therapist | 11813 Park Waldorf Ln Ste 522, Waldorf, MD 20601-3191 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| 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 |
|---|---|---|---|---|
| 1467083469 | Ashley Laurenne Jeter | Physical Therapist | 3018 Festival Way Unit 323, Waldorf, MD 20601-2958 | 2020-01-28 |
| 1982161022 | Wright At Home Therapy | Physical Therapist | 6413 Bear Ct, Waldorf, MD 20603-4302 | 2019-02-25 |
| 1992278576 | Nikki Simone Carrington | Physical Therapist | 3 Post Office Rd Unit Rd, Waldorf, MD 20602-2756 | 2019-01-07 |
| 1861960130 | Personalized Therapy, LLC | Physical Therapist | 3261 Old Washington Rd Unit 101, Waldorf, MD 20602-3223 | 2018-11-05 |
| 1902334071 | Ankit Minesh Shah | Physical Therapist | 3165 Crain Hwy, Waldorf, MD 20603-4847 | 2017-06-01 |
| 1407397896 | Professional Sportscare & Rehab, LLC | Physical Therapist | 2875 Crain Hwy, Ste 6, Waldorf, MD 20601-2807 | 2017-03-17 |
| 1700328119 | Belinda J Miranda | Physical Therapist | 2 Post Office Rd Ste 4a, Waldorf, MD 20602-2726 | 2016-11-16 |
| 1780040873 | Jeffrey Fairman | Physical Therapist | 11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807 | 2016-01-06 |
| 1306246517 | Nghi Ly | Physical Therapist | 3165 Crain Hwy Ste 100, Waldorf, MD 20603-4847 | 2014-08-26 |
| 1053734087 | Filisha Mae Lustfield | Physical Therapist | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2014-01-27 |
| Find all providers in WALDORF | ||||
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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.