Provider Demographics
NPI:1568556728
Name:ALBERTI, KARLA TAYLOR (PT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:TAYLOR
Last Name:ALBERTI
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 1:8 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4113
Mailing Address - Country:US
Mailing Address - Phone:410-990-1060
Mailing Address - Fax:
Practice Address - Street 1:8 LINCOLN CT
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4113
Practice Address - Country:US
Practice Address - Phone:410-990-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16531225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52920005OtherCAREFIRST OF MD
MD3012446OtherAETNA
MD52920006OtherCAREFIRST OF MD
MD010598428OtherUNITED HEALTHCARE
MD201609100OtherFECA
MD010598428TAOtherPREFERRED HEALTH NETWORK
MDF5170006OtherGHMSI
MD434MJ567Medicare ID - Type UnspecifiedTRAILBLAZER
MD201609100OtherFECA