Provider Demographics
NPI:1780761429
Name:GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION, LLC
Entity type:Organization
Organization Name:GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:VOELKEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:301-334-5220
Mailing Address - Street 1:13141 GARRETT HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550
Mailing Address - Country:US
Mailing Address - Phone:301-334-5220
Mailing Address - Fax:301-334-6277
Practice Address - Street 1:13141 GARRETT HIGHWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:301-334-5220
Practice Address - Fax:301-334-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDEIN#225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE273OtherGHMSI & BCBS FEDERAL
MDKE79GAOtherCAREFIRST
MDIWIF 25-99OtherINJURED WORKERS'
MD215502800Medicaid
MD1053857797Medicaid
CI553OtherMEDICARE RAILROAD