MEDICARE: JULIE ANN BAILEY-PLUMMER PT

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	16859	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T615-0001	OTHER	DC	CAREFIRST BLUECHOICE
2	2118118	OTHER		AETNA HMO
3	H481DO-52369601	OTHER	MD	CAREFIRST BLUECROSS
4	5060511	OTHER		AETNA NON HMO
5	211348	OTHER		MAMSI PLANS

General Provider Information

NPI Number	:	1093714206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN BAILEY-PLUMMER PT

Provider Business Mailing Address
First Line	:	PO BOX 79831
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21279-0831
Country	:	US
Telephone Number	:	240-452-3207
Fax Number	:	240-452-3236

Provider Business Practice Location Address
First Line	:	222 E BALTIMORE ST STE 103
Second Line	:
City	:	TANEYTOWN
State	:	MD
Zip	:	21787-2279
Country	:	US
Telephone Number	:	410-756-1562
Fax Number	:	410-848-3939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	02/19/2024

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