Blake Hamilton (NPI# 1407972110, PAC ID# 5799776134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1407972110 |
| PAC ID by PECOS | 5799776134 |
| Professional Enrollment ID | I20040524000347 |
| Full Name | Blake Hamilton |
| Organization Legal Name | MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC |
| Address |
1360 Blair Dr D Odenton MD 21113-1343 |
| Phone Number | 4106728970 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062324601 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 | 3017763665 | MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC |
| 1360 Blair Dr, D, Odenton, MD 21113-1343 | 4106728970 | MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC |
| Organization Legal Name | MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Glenn Tillman | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Kevin Jacob Levi-goerlich | Physical Therapy | Maximum Performance Physical Therapy, Inc | 5999 Harpers Farm Rd, Suite W100, Columbia, MD 21044-3015 |
| Kathryn Lynn Hamilton | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Jennifer Ohare | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Mathias Boddicker | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Michael Hunter Kime | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Thomas William Yates | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Traci H Nakagawa | Physical Therapy | Maximum Performance Physical Therapy, Inc | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4991 |
| Amanda M Brackrog | Physical Therapy | Maximum Performance Physical Therapy, Inc | 1360 Blair Dr, D, Odenton, MD 21113-1343 |
| Sarah Caffey | Physical Therapy | Maximum Performance Physical Therapy, Inc | 1360 Blair Dr, D, Odenton, MD 21113-1343 |
| Street Address |
1360 BLAIR DR D |
| City | ODENTON |
| State | MD |
| Zip | 21113-1343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Brackrog | Physical Therapy | Maximum Performance Physical Therapy, Inc | 1360 Blair Dr, D, Odenton, MD 21113-1343 |
| Sarah Caffey | Physical Therapy | Maximum Performance Physical Therapy, Inc | 1360 Blair Dr, D, Odenton, MD 21113-1343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roslyn Zinner | Clinical Social Worker | 1413 Annapolis Rd, Suite 207, Odenton, MD 21113-1216 | |
| John V Demaio | Chiropractic | 1413 Annapolis Rd, Odenton, MD 21113-1216 | |
| Robin R Robinson | Qualified Audiologist | 1413 Annapolis Rd, Suite 104, Odenton, MD 21113-1216 | |
| Erika L Hempey | Chiropractic | John V. Demaio Dc PC | 1413 Annapolis Rd, Odenton, MD 21113-1216 |
| Karen Clarke-bennett | Family Medicine | 1114 Town Ctr Blvd G, Odenton, MD 21113-1224 | |
| Jannae White | Nurse Practitioner | Corelife Health Services, Inc. | 1350 Blair Dr, Suite F, Odenton, MD 21113-1333 |
| Christina L Beeman Partin | Nurse Practitioner | Corelife Health Services, Inc. | 1350 Blair Dr, Suite F, Odenton, MD 21113-1333 |
| Brendan Glowacki | Nurse Practitioner | Corelife Health Services, Inc. | 1350 Blair Dr, Suite F, Odenton, MD 21113-1333 |
| Whitney A Fahrman | Optometry | Weinstein Eye Associates Pa | 1215 Annapolis Rd, Suite 103, Odenton, MD 21113-1334 |
| Christine Fleurimond | Internal Medicine | Total Health Care Inc | 1215 Annapolis Rd, Odenton, MD 21113-1344 |
| Find all physicians in zip 21113 | |||
| City | ODENTON |
| Zip Code | 21113 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ODENTON + 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.