Provider Demographics
NPI:1184179046
Name:ALLAN H MACHT PA
Entity Type:Organization
Organization Name:ALLAN H MACHT PA
Other - Org Name:HARBOR PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MACHT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-524-0442
Mailing Address - Street 1:575 S CHARLES ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2428
Mailing Address - Country:US
Mailing Address - Phone:443-524-0442
Mailing Address - Fax:410-752-8430
Practice Address - Street 1:575 S CHARLES ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2428
Practice Address - Country:US
Practice Address - Phone:443-524-0442
Practice Address - Fax:410-752-8430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD259782251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty