Healthcare Provider Details
I. General information
NPI: 1760390876
Provider Name (Legal Business Name): DOCKYARD PHYSCIAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16900 SCIENCE DR STE 206
BOWIE MD
20715-4401
US
IV. Provider business mailing address
16900 SCIENCE DR STE 206
BOWIE MD
20715-4401
US
V. Phone/Fax
- Phone: 410-562-9366
- Fax:
- Phone: 410-562-9366
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
BRITTANY
SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 410-562-9366