MEDICARE: GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI553	OTHER	MD	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	E273	OTHER	MD	GHMSI & FEDERAL BLUE CROSS
3	KE79GA	OTHER	MD	CAREFIRST BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	IWIF 25-99	OTHER		INJURED WORKERS

General Provider Information

NPI Number	:	1053857797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION LLC

Provider Business Mailing Address
First Line	:	13141 GARRETT HWY
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-1164
Country	:	US
Telephone Number	:	301-334-5220
Fax Number	:	301-334-6277

Provider Business Practice Location Address
First Line	:	13141 GARRETT HWY
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-1164
Country	:	US
Telephone Number	:	301-334-5220
Fax Number	:	301-334-6277

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL LOUIS VOELKEL JR.
Credential	:	P.T.
Telephone Number	:	301-334-5220

Provider Enumeration Date	:	01/18/2017
Last Update Date	:	01/18/2017

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Directions to “GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION LLC ” Practice Location

Language	Start Address	Practice Location

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