MIDDLETOWN SPORT AND SPINE LLC (NPI# 1760491666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760491666 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN SPORT AND SPINE LLC |
| Practice Address |
205 S. Church Street Suite B Middletown MD 21769 |
| Mailing Address |
84 Thomas Johnson Ct Suite B Frederick MD 21702-4348 |
| Practice Telephone | 3016628541 |
| Practice Fax Number | 3016628762 |
| Mailing Telephone | 3016628541 |
| Mailing Fax Number | 3016628762 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | CONNIE GOODING (CREDENTIALING REPRESENTATIVE) |
| Authorized Official Telephone | 3016628541 |
| 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 |
205 S. CHURCH STREET SUITE B |
| City | MIDDLETOWN |
| State | MD |
| Zip Code | 21769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861775777 | Lisa Rae Augustine | Speech-Language Pathologist | 8170 Hollow Road, Middletown, MD 21769 | 2011-09-27 |
| 1679676704 | Rudman & Kane Pa | Dentist | 807 E Main St, Middletown, MD 21769 | 2006-09-06 |
| 1487619474 | Sheli Agarwal | Family Medicine | 300 South Church St, Middletown, MD 21769 | 2006-04-20 |
| 1831444538 | Jamison Allyn Strachan | Social Worker | 16 Walnut Street, Middletown, MD 21769 | 2012-07-18 |
| 1225204894 | Kristina Deanne Gaskins | Pharmacist | 312 Broad Street, Unit F68, Middletown, MD 21769 | 2008-05-05 |
| 1972706448 | Benjamin Leslie Krepps | Anesthesiology | 6 W Main St, Middletown, MD 21769 | 2007-06-11 |
| 1073933347 | Kyle Paradise | Registered Nurse | 6425 Zittlestown Rd, Middletown, MD 21769-6205 | 2014-04-24 |
| 1306062310 | Brittany Coffman | Physician Assistant | 3376 Sumantown Rd, Middletown, MD 21769-6409 | 2007-04-18 |
| 1730616483 | Elke Van Delden | Massage Therapist | 7332 Picnic Woods Rd, Middletown, MD 21769-7111 | 2017-05-12 |
| 1639404775 | Med One Pharmacy Inc | Pharmacy | 4317 Old National Pike, Middletown, MD 21769-7700 | 2009-10-07 |
| Find all providers in zip 21769 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1154505147 | Scotchtown Physical Therapy, P.C. | Physical Therapist | 633 Route 211 E Ste 2, Middletown, NY 10941-1781 | 2007-12-26 |
| 1619032059 | Ralph Desiderio | Physical Therapist | 1702 State Route 35, Middletown, NJ 07748-1832 | 2006-12-26 |
| 1518948355 | Todd Stuart Cumming | Physical Therapist | 124 Sleepy Hollow Dr, Suite 101, Middletown, DE 19709-5838 | 2005-11-09 |
| 1427274034 | Emily Jane Bjornstad | Physical Therapist | 1181 Aquidneck Ave, Middletown, RI 02842-5255 | 2007-04-18 |
| 1134263122 | All Therapy | Physical Therapist | 212 Carter Dr, Suite C, Middletown, DE 19709-5837 | 2007-02-16 |
| 1558426098 | Colonial Physical Therapy | Physical Therapist | 1702 State Route 35, Middletown, NJ 07748-1832 | 2006-12-26 |
| 1558474742 | Middlesex Orthopedic Surgeons PC | Physical Therapist | 410 Saybrook Rd, Ste 100, Middletown, CT 06457-4780 | 2006-08-15 |
| 1811911217 | Orthosport Physical Therapy Center | Physical Therapist | 323 N Breiel Blvd, Middletown, OH 45042-3868 | 2006-07-27 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 21769 |
Please comment or provide details below to improve the information on MIDDLETOWN SPORT AND SPINE 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.