Healthcare Provider Details

I. General information

NPI: 1285561118
Provider Name (Legal Business Name): PT WERKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9214 RIDGEFIELD CIR
FREDERICK MD
21701-6742
US

IV. Provider business mailing address

9214 RIDGEFIELD CIR
FREDERICK MD
21701-6742
US

V. Phone/Fax

Practice location:
  • Phone: 301-712-6143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COLIN VANWERKHOVEN
Title or Position: OWNER
Credential: PT, DPT, CSCS
Phone: 301-712-6143