Frederick Sport & Spine Clinic in Frederick - Orthopedic

Frederick Sport & Spine Clinic - NPI 1134397722

Frederick Sport & Spine Clinic is a Orthopedic in Frederick, Maryland. Frederick Sport & Spine Clinic practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Frederick Sport & Spine Clinic is 1134397722. The last update date is 2008-02-15.

Frederick Sport & Spine Clinic's current location address is 84 Thomas Johnson Ct, Frederick, Maryland. You can contact this provider via phone number 3016628541 and fax number 3016628762. The mailing address for Frederick Sport & Spine Clinic is 84 Thomas Johnson Ct, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Frederick Sport & Spine Clinic
Address 84 Thomas Johnson Ct, Frederick, Maryland
Phone Number 3016628541
Fax Number 3016628762
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING SP
Authorized Official Name Gooding F Connie
Telephone Number 3016628541

NPI Number Detail

NPI Number 1134397722
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 84 Thomas Johnson Ct
City Frederick
State Maryland (MD)
Post Code 217024348
Phone Number 3016628541
Fax Number 3016628762

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 17003
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123M MD MEDICARE
LK93FRR MD CAREFIRST
334552 MD PHCS
551810 MD MAMSI
2004876 MD UNITED HEALTHCARE
R559 MD CAREFIRST NAL'L

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FAQs about Frederick Sport & Spine Clinic

What is the Frederick Sport & Spine Clinic's unique identification number?

The Frederick Sport & Spine Clinic has been assigned the NPI (National Provider Identifier) Number 1134397722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Frederick Sport & Spine Clinic is physically located?

The Frederick Sport & Spine Clinic is situated at the following address: 84 Thomas Johnson Ct, Frederick, MD 217024348.

What is Frederick Sport & Spine Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Frederick Sport & Spine Clinic is Orthopedic, and the taxonomy code that categorizes this field of expertise is 2251X0800X.

On what date did Frederick Sport & Spine Clinic receive its 1134397722 assignment from the Centers for Medicare & Medicaid Services?

The Frederick Sport & Spine Clinic was assigned its 1134397722 on 2008-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Frederick Sport & Spine Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Frederick Sport & Spine Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-15.

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