Healthcare Provider Details

I. General information

NPI: 1356907984
Provider Name (Legal Business Name): LHMG PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28438 MARLBORO AVE
EASTON MD
21601-2732
US

IV. Provider business mailing address

PO BOX 15945
BELFAST ME
04915-4054
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-2440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

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