MEDICARE: MR. JONAS SAQUILAYAN TAPANGAN 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	18854	MD

General Provider Information

NPI Number	:	1912153180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONAS SAQUILAYAN TAPANGAN PT

Provider Business Mailing Address
First Line	:	24 HEAVRIN CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-2981
Country	:	US
Telephone Number	:	410-240-7989
Fax Number	:

Provider Business Practice Location Address
First Line	:	728B BACK RIVER NECK RD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-1918
Country	:	US
Telephone Number	:	443-739-6410
Fax Number	:

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

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	09/10/2025

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