Walter Mady is a Sports in Ellicott City, Maryland. Walter Mady practices all healthcare services and medical treatments related to Sports. The NPI Number for Walter Mady is 1831185784. The last update date is 2008-12-09.
Walter Mady's current location address is 4801 Dorsey Hall Dr, Ellicott City, Maryland. You can contact this provider via phone number 4107309851 and fax number 4107309855. The mailing address for Walter Mady is 4801 Dorsey Hall Dr, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Mady |
|---|---|
| Address | 4801 Dorsey Hall Dr, Ellicott City, Maryland |
| Phone Number | 4107309851 |
| Fax Number | 4107309855 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1831185784 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2008-12-09 |
Provider Mailing Address Detail
| Address | 4801 Dorsey Hall Dr |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210427766 |
| Phone Number | 4107309851 |
| Fax Number | 4107309855 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 15340 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6545-0003 | MD | BLUE CHOICE | |
| 236397 | MD | MAMSI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Walter Mady by the Centers for Medicare & Medicaid Services?
The Walter Mady has been assigned the NPI (National Provider Identifier) 1831185784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Walter Mady is physically located?
The Walter Mady is physically situated at the following address: 4801 Dorsey Hall Dr, Ellicott City, MD, 210427766.
What is Walter Mady's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Walter Mady's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
When did the Walter Mady receive its 1831185784?
The Walter Mady was issued its 1831185784 on 2005-09-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Walter Mady's details last updated?
The information pertaining to the Walter Mady, including its address, specialty, and other details, was most recently updated on 2008-12-09.