Provider Demographics
NPI:1285430942
Name:BARTLETT, EMILY ROSE (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 MONTPELIER CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4576
Mailing Address - Country:US
Mailing Address - Phone:443-293-6414
Mailing Address - Fax:
Practice Address - Street 1:2710 HAMPSTEAD MEXICO RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-1514
Practice Address - Country:US
Practice Address - Phone:443-441-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist