Provider Demographics
NPI:1851562110
Name:MCLAUGHLIN PHYSICAL THERAPY & HAND REHABILITATION
Entity Type:Organization
Organization Name:MCLAUGHLIN PHYSICAL THERAPY & HAND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-692-9180
Mailing Address - Street 1:3718 NORRISVILLE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:JARRETTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21084-1419
Mailing Address - Country:US
Mailing Address - Phone:410-692-9180
Mailing Address - Fax:410-692-9750
Practice Address - Street 1:3718 NORRISVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1419
Practice Address - Country:US
Practice Address - Phone:410-692-9180
Practice Address - Fax:410-692-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD647P350HMedicare PIN