MEDICARE: COMPREHENSIVE PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0498283	OTHER		AETNA HMO
2	KE95	OTHER	MD	CAREFIRST MARYLAND
3	1340271	OTHER		UNITED HEALTHCARE
4	4514563	OTHER		AETNA PPO

General Provider Information

NPI Number	:	1083743934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	10605 CONCORD ST
Second Line	:	SUITE 201
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2504
Country	:	US
Telephone Number	:	301-929-0688
Fax Number	:	301-946-9164

Provider Business Practice Location Address
First Line	:	10605 CONCORD ST
Second Line	:	SUITE 201
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2504
Country	:	US
Telephone Number	:	301-929-0688
Fax Number	:	301-946-9164

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CRAIG STEVEN SOLOMON
Credential	:	PTA
Telephone Number	:	301-929-0688

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	06/19/2008

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Directions to “COMPREHENSIVE PHYSICAL THERAPY INC ” Practice Location

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