Provider Demographics
NPI:1972796282
Name:BITZEL & ASSOCIATES, P.T., P.A.
Entity Type:Organization
Organization Name:BITZEL & ASSOCIATES, P.T., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:BITZEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:410-321-8684
Mailing Address - Street 1:22 WEST RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2326
Mailing Address - Country:US
Mailing Address - Phone:410-321-8684
Mailing Address - Fax:410-321-8644
Practice Address - Street 1:22 WEST RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2326
Practice Address - Country:US
Practice Address - Phone:410-321-8684
Practice Address - Fax:410-321-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKS14BIOtherCAREFIRST BLUECROSS
MDT3680001OtherFEDERAL EMPLOYEE PROGRAM
MDT3680001OtherCAREFIRST NATIONAL ACCOUN
MDT3680001OtherBLUECHOICE
MDT3680001OtherBLUECHOICE