Carissa Nicole Reed (NPI# 1841566726, PAC ID# 7113293135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1841566726 |
PAC ID by PECOS | 7113293135 |
Professional Enrollment ID | I20171019000061 |
Full Name | Carissa Nicole Reed |
Organization Legal Name | BREAKAWAY PHYSICAL THERAPY, LLC |
Address |
2130 Priest Bridge Dr Suite 2 Crofton MD 21114-2457 |
Phone Number | 3018078972 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 8123330222 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 | 3018078972 | BREAKAWAY PHYSICAL THERAPY, LLC |
Organization Legal Name | BREAKAWAY PHYSICAL THERAPY, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany Gunter | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Alexandra Lena Urban | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Shaina Beth Clemons | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Street Address |
2130 PRIEST BRIDGE DR SUITE 2 |
City | CROFTON |
State | MD |
Zip | 21114-2457 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany Gunter | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Alexandra Lena Urban | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Shaina Beth Clemons | Physical Therapy | Breakaway Physical Therapy, LLC | 2130 Priest Bridge Dr, Suite 2, Crofton, MD 21114-2457 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Ian Segal | Clinical Social Worker | 931 Truro Ln, Crofton, MD 21114-1203 | |
Mirza M Nusairee | Internal Medicine | 1667 Crofton Ctr, Suite 5, Crofton, MD 21114-1303 | |
Linda Z Motts | Certified Clinical Nurse Specialist (cns) | 1667 Crofton Ctr, Suite 1, Crofton, MD 21114-1303 | |
Brad A Toll | Podiatry | 2411 Crofton Ln, Suite 25, Crofton, MD 21114-1304 | |
Aretha M Lee | Nurse Practitioner | Minute Clinic LLC | 2003 Davidsonville Rd, Crofton, MD 21114-1317 |
Shannon E Han | Nurse Practitioner | Minute Clinic LLC | 2003 Davidsonville Rd, Crofton, MD 21114-1317 |
Pei Yu Wang | Nurse Practitioner | Minute Clinic LLC | 2003 Davidsonville Rd, Crofton, MD 21114-1317 |
Patrina Gordon | Nurse Practitioner | Minute Clinic LLC | 2003 Davidsonville Rd, Crofton, MD 21114-1317 |
Nicholas A Grande | Chiropractic | 2411 Crofton Ln, Suite 14a, Crofton, MD 21114-1336 | |
Ashu P Mehta | Rheumatology | 1655 Crofton Blvd, Suite 101, Crofton, MD 21114-1342 | |
Find all physicians in zip 21114 |
City | CROFTON |
Zip Code | 21114 |
Specialty | PHYSICAL THERAPY |
City + Specialty | CROFTON + 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.