Mitchell Stanley (NPI# 1114156056, PAC ID# 1254486533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1114156056 |
| PAC ID by PECOS | 1254486533 |
| Professional Enrollment ID | I20090910000369 |
| Full Name | Mitchell Stanley |
| Organization Legal Name | BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP |
| Address |
3179 Braverton St Suite 201 Edgewater MD 21037-2667 |
| Phone Number | 4109564308 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5193902948 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 | 4109564308 | BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP |
| 8531 Veterans Hwy, Suite 104, Millersville, MD 21108-2653 | 4109872162 | BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP |
| Organization Legal Name | BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Ann Woodward | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 155 Sallitt Dr, Suite B, Stevensville, MD 21666-2279 |
| Kevin Wrenn | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Reed R Kroncke | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 202 Coursevall Dr, Suite 111and112, Centreville, MD 21617-2804 |
| Kristin Abboud | Occupational Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Amanda H Mccabe | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 202 Coursevall Dr, Suite 111and112, Centreville, MD 21617-2804 |
| Maureen Kathryn Walter | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Heather E Read | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 202 Coursevall Dr, Suite 111and112, Centreville, MD 21617-2804 |
| Ryan A Hunsicker | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 70 Sherry Ln, Prince Frederick, MD 20678-3275 |
| Adam Joseph Roscioli | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 308 Hospital Dr, Suite 105, Glen Burnie, MD 21061-5506 |
| David Brown | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 202 Coursevall Dr, Suite 111and112, Centreville, MD 21617-2804 |
| Street Address |
3179 BRAVERTON ST SUITE 201 |
| City | EDGEWATER |
| State | MD |
| Zip | 21037-2667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wrenn | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Kristin Abboud | Occupational Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Maureen Kathryn Walter | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Caitlin Frances Perkins | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Carolyn Elaine Russell-canaan | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Aaron M Davis | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Carrie Cantwell | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Elizabeth Nowak | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Michael K Kuegler | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Kyle Mellinger | Physical Therapy | Bayside Physical Therapy and Sports Rehabilitation Limited Partnership | 3179 Braverton St, Suite 201, Edgewater, MD 21037-2667 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Olivares | Psychiatry | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Kimberly H Colquhoun | Clinical Social Worker | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Susan D Loftis | Clinical Social Worker | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Maureen C Steele | Clinical Social Worker | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Katouri L Wilson | Clinical Social Worker | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Robert Allen-emerson | Nurse Practitioner | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Blessing N Anabaraonye | Nurse Practitioner | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Francisca N Okwukogu | Nurse Practitioner | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Theresa Crowe Mason | Clinical Social Worker | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Lauren Cashion | Psychiatry | Arundel Lodge, Inc. | 2600 Solomons Island Rd, Edgewater, MD 21037-1102 |
| Find all physicians in zip 21037 | |||
| City | EDGEWATER |
| Zip Code | 21037 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EDGEWATER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mitchell Stanley.
| 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.