Healthcare Provider Details

I. General information

NPI: 1811184450
Provider Name (Legal Business Name): HOME THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 GROVE RD STE 203
FREDERICK MD
21704-5139
US

IV. Provider business mailing address

1916 KINGS FOREST TRL
MOUNT AIRY MD
21771-8745
US

V. Phone/Fax

Practice location:
  • Phone: 301-829-6770
  • Fax: 301-829-6610
Mailing address:
  • Phone: 301-829-6770
  • Fax: 301-829-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD EDWARD DIXON JR.
Title or Position: PRESIDENT
Credential: DPT
Phone: 301-829-6770