Ian Edwards (NPI# 1023665056, PAC ID# 5294066197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1023665056 |
| PAC ID by PECOS | 5294066197 |
| Professional Enrollment ID | I20191008000015 |
| Full Name | Ian Edwards |
| Organization Legal Name | SMITH AND PROTHERO PHYSICAL THERAPY LLC |
| Address |
1131 Baltimore Pike Suite B Bel Air MD 21014-5132 |
| Phone Number | 4108386070 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335155860 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 | 4108386070 | SMITH AND PROTHERO PHYSICAL THERAPY LLC |
| 807 A S Union Ave, Havre De Grace, MD 21078-3610 | 4109392262 | SMITH AND PROTHERO PHYSICAL THERAPY LLC |
| Organization Legal Name | SMITH AND PROTHERO PHYSICAL THERAPY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Fulp | Physical Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Rick N Prothero | Physical Therapy | Smith and Prothero Physical Therapy LLC | 807 A S Union Ave, Havre De Grace, MD 21078-3610 |
| Raymond Wesley Cooper Jr. | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Kelly M Keller | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| William C Smith | Physical Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Anthony M Malek | Physical Therapy | Smith and Prothero Physical Therapy LLC | 807 A S Union Ave, Havre De Grace, MD 21078-3610 |
| Laura Hummel | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Street Address |
1131 BALTIMORE PIKE SUITE B |
| City | BEL AIR |
| State | MD |
| Zip | 21014-5132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Fulp | Physical Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Raymond Wesley Cooper Jr. | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Kelly M Keller | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| William C Smith | Physical Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Laura Hummel | Occupational Therapy | Smith and Prothero Physical Therapy LLC | 1131 Baltimore Pike, Suite B, Bel Air, MD 21014-5132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Werth | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Chelsea A Mitchell | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd C, Bel Air, MD 21014-1809 |
| Sara Elizabeth Colasuonno | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Zachary Joseph Kaminski | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Logan Havel Buckley | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Brianna M Chaney | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| William Young | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Rachel Kendzejeski | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1705 Conowingo Rd, Bel Air, MD 21014-1815 |
| Dennis Kurgansky | Dermatology | 2 N Ave, Suite 100, Bel Air, MD 21014-2030 | |
| Shilpi Khosla | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
| Find all physicians in zip 21014 | |||
| City | BEL AIR |
| Zip Code | 21014 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BEL AIR + PHYSICAL THERAPY |
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| 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.