Provider Demographics
NPI:1093858441
Name:HESS, PATRICIA KAPSIAK (PT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:KAPSIAK
Last Name:HESS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19708 SELBY AVE
Mailing Address - Street 2:
Mailing Address - City:POOLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20837-2409
Mailing Address - Country:US
Mailing Address - Phone:301-916-3634
Mailing Address - Fax:301-349-2074
Practice Address - Street 1:19628 FISHER AVE
Practice Address - Street 2:
Practice Address - City:POOLESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20837-2065
Practice Address - Country:US
Practice Address - Phone:301-349-5443
Practice Address - Fax:301-349-2074
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD15401OtherSTATE LICENSE
MD15401OtherSTATE LICENSE
DCG02772P01Medicare PIN