Amanda Detrich (NPI# 1255748570, PAC ID# 1759698418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1255748570 |
| PAC ID by PECOS | 1759698418 |
| Professional Enrollment ID | I20150914002353 |
| Full Name | Amanda Detrich |
| Organization Legal Name | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Address |
1460 Ritchie Hwy Suite 113 Arnold MD 21012-2704 |
| Phone Number | 4106268350 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042102592 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 | 4106268350 | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Organization Legal Name | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Leimkuhler | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Nneka C Oligbo | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 14700 Baltimore Ave, Suite 106, Laurel, MD 20707-4878 |
| Saera H Brooks | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 10722 Baltimore Ave, Beltsville, MD 20705-2138 |
| Taylore B Libby | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1013 Bay Ridge Ave, Suite 410, Annapolis, MD 21403-3031 |
| Jordan L Natale | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 31 Magothy Beach Rd, Suite 105, Pasadena, MD 21122-4423 |
| Kuang Y Hsieh | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 7711 Quarterfield Rd, Suite C2, Glen Burnie, MD 21061-4591 |
| Sandra L Woods | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Donald G Heacock | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Arthur E Scofield Iv | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Jami N Jackson | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Street Address |
1460 RITCHIE HWY SUITE 113 |
| City | ARNOLD |
| State | MD |
| Zip | 21012-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan J Orner | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Jenna L Reich-nobles | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Andrea Miller | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Karen T Ramos | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Thomas Mauro | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Logan Crawford | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk A Duncan | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Lauren B Bond | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Mary Ann Gardiner | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Faith H Howarth | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| James G Chaconas | Family Practice | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Llyern L Bartholomew | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Meaghan E Brown | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Kate N Chowpaknam | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Angelica Shiels | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Daniel S Kim | Psychiatry | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Find all physicians in zip 21012 | |||
| City | ARNOLD |
| Zip Code | 21012 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ARNOLD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Amanda Detrich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.