Healthcare Provider Details

I. General information

NPI: 1396122842
Provider Name (Legal Business Name): LHMG PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 11/06/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 JENNIFER RD STE A
ANNAPOLIS MD
21401-3367
US

IV. Provider business mailing address

161 JENNIFER RD STE A
ANNAPOLIS MD
21401-3367
US

V. Phone/Fax

Practice location:
  • Phone: 410-268-8862
  • Fax:
Mailing address:
  • Phone: 410-268-8862
  • Fax: 410-280-4701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA RAPATTONI
Title or Position: AO
Credential:
Phone: 443-481-5136