Provider Demographics
NPI:1336193887
Name:STAGGERS HEARE & WHITEMAN PA
Entity Type:Organization
Organization Name:STAGGERS HEARE & WHITEMAN PA
Other - Org Name:PROGRESSIVE PHYSICAL THERAPY & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:DAVID RUSSELL
Authorized Official - Last Name:WHITEMAN, JR.
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, MBA
Authorized Official - Phone:301-729-3485
Mailing Address - Street 1:11801 UPPER POTOMAC INDSTRL PARK ST SW
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-5139
Mailing Address - Country:US
Mailing Address - Phone:301-729-3485
Mailing Address - Fax:301-729-0158
Practice Address - Street 1:11801 UPPER POTOMAC INDSTRL PARK ST SW
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-5139
Practice Address - Country:US
Practice Address - Phone:301-729-3485
Practice Address - Fax:301-729-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
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