ORTHOPAEDIC MANUAL THERAPY SPECIALISTS, LLC (NPI# 1699175711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699175711 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC MANUAL THERAPY SPECIALISTS, LLC |
| Practice Address |
13217 Executive Park Ter Germantown MD 20874-2647 |
| Practice Telephone | 3019162600 |
| Practice Fax Number | 3019169343 |
| Mailing Telephone | 3019162600 |
| Mailing Fax Number | 3019169343 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | DR. JOHN LOGAN COOPER (PHYSICAL THERAPIST, OWNER) |
| Authorized Official Telephone | 3019162600 |
| Authorized Official Credential | PT, DPT, OCS, CS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13217 EXECUTIVE PARK TER |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982801726 | Brian Y. Kim, D.o., P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 13217 Executive Park Ter, Germantown, MD 20874-2647 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863988 | Deborah K Loftus | Physical Therapist | W156n11072 Pilgrim Rd, Germantown, WI 53022-4247 | 2006-04-26 |
| 1245212489 | Gp Therapy, LLC | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2005-11-15 |
| 1790158665 | Megha Tiwari | Physical Therapist | 19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 | 2015-11-02 |
| 1821460049 | Drew Hofbauer | Physical Therapist | 20500 Seneca Meadows Pkwy, Suite 101, Germantown, MD 20876-7008 | 2015-10-27 |
| 1225429707 | Lisa Michelle Tipton | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2015-02-05 |
| 1992112049 | Carie Balton Mcphail | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-21 |
| 1427465574 | Christal Harwell-mostert | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-21 |
| 1215344809 | Katelyn Dalton | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-16 |
| 1962817114 | Larry Williams Jr. | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-06-26 |
| 1528218153 | William Robert Oconnell | Physical Therapist | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2008-09-18 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on ORTHOPAEDIC MANUAL THERAPY SPECIALISTS, LLC.
| 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.