MEDICARE: ATLANTIC PHYSICAL THERAPY AND REHAB CENTER LTD

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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	S986000	OTHER	DC	CF BLUE CROSS BLUE SHIELD
3	683203200	OTHER	MD	AMERIGROUP
4	LK24AT	OTHER	MD	CF BLUE CROSS BLUE SHIELD
5	338063	OTHER	MD	MAMSI LIFE MD IPA

General Provider Information

NPI Number	:	1194879858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PHYSICAL THERAPY AND REHAB CENTER LTD

Provider Business Mailing Address
First Line	:	13975 CONNECTICUT AVE
Second Line	:	SUITE 300
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2921
Country	:	US
Telephone Number	:	301-598-7420
Fax Number	:	301-598-7432

Provider Business Practice Location Address
First Line	:	13975 CONNECTICUT AVE
Second Line	:	SUITE 300
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2921
Country	:	US
Telephone Number	:	301-598-7420
Fax Number	:	301-598-7432

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THERESA STURM
Credential	:	M.P.T.
Telephone Number	:	301-598-7420

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	04/26/2013

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Directions to “ATLANTIC PHYSICAL THERAPY AND REHAB CENTER LTD ” Practice Location

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