MEDICARE: ANCY ALFORD PT, DPT

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	2305209689	VA
2	2251X0800X	Orthopedic Physical Therapist	25902	MD
3	225100000X	Physical Therapist	25902	MD

General Provider Information

NPI Number	:	1982071171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANCY ALFORD PT, DPT

Provider Business Mailing Address
First Line	:	7811 MONTROSE RD STE 350
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3359
Country	:	US
Telephone Number	:	301-417-8283
Fax Number	:	301-417-8306

Provider Business Practice Location Address
First Line	:	7811 MONTROSE RD STE 350
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3359
Country	:	US
Telephone Number	:	301-417-8283
Fax Number	:	301-417-8306

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

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	06/18/2024

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