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NPI Code Detail

MEDICARE: C&M PHYSICAL THERAPY LLC

MEDICARE: C&M PHYSICAL THERAPY LLC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1720936875
Entity Type Code : Organization
Provider Name (Legal Business Name) : C&M PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 6041 OTTERBEIN LN APT 406
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7599
Country : US
Telephone Number : 631-377-2719
Fax Number :
Provider Business Practice Location Address
First Line : 6041 OTTERBEIN LN APT 406
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-7599
Country : US
Telephone Number : 631-377-2719
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST/OWNER
Name : SHANICE CARRINGTON
Credential : PT, DPT
Telephone Number : 631-377-2719
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “C&M PHYSICAL THERAPY LLC ” Practice Location

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