Provider Demographics
NPI:1164539128
Name:COX, EARL FORBES III (MS, PT)
Entity Type:Individual
Prefix:MR
First Name:EARL
Middle Name:FORBES
Last Name:COX
Suffix:III
Gender:M
Credentials:MS, PT
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Mailing Address - Street 1:9099 RIDGEFIELD DR
Mailing Address - Street 2:202
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6713
Mailing Address - Country:US
Mailing Address - Phone:301-696-5595
Mailing Address - Fax:301-696-0846
Practice Address - Street 1:9099 RIDGEFIELD DR
Practice Address - Street 2:202
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6713
Practice Address - Country:US
Practice Address - Phone:301-696-5595
Practice Address - Fax:301-696-0846
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2011-09-21
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Provider Licenses
StateLicense IDTaxonomies
MD18277225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD427M616FMedicare PIN
427MMedicare PIN