Provider Demographics
NPI:1841423704
Name:R.E.A.C.H. PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:R.E.A.C.H. PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TUTAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:443-414-7139
Mailing Address - Street 1:2700 FARM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1302
Mailing Address - Country:US
Mailing Address - Phone:443-414-7139
Mailing Address - Fax:
Practice Address - Street 1:2700 FARM VIEW DR
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-1302
Practice Address - Country:US
Practice Address - Phone:443-414-7139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty