Provider Demographics
NPI:1093714206
Name:BAILEY-PLUMMER, JULIE ANN (PT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:BAILEY-PLUMMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:PLUMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 79831
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0831
Mailing Address - Country:US
Mailing Address - Phone:240-452-3207
Mailing Address - Fax:240-452-3236
Practice Address - Street 1:222 E BALTIMORE ST STE 103
Practice Address - Street 2:
Practice Address - City:TANEYTOWN
Practice Address - State:MD
Practice Address - Zip Code:21787-2279
Practice Address - Country:US
Practice Address - Phone:410-756-1562
Practice Address - Fax:410-848-3939
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCT615-0001OtherCAREFIRST BLUECHOICE
2118118OtherAETNA HMO
MDH481DO-52369601OtherCAREFIRST BLUECROSS
5060511OtherAETNA NON HMO
211348OtherMAMSI PLANS
2118118OtherAETNA HMO