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Organization
STAGGERS HEARE & WHITEMAN PA
Active
Organization
STAGGERS HEARE & WHITEMAN PA
Active
Other names
Progressive Physical Therapy & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY DAVID RUSSELL WHITEMAN, JR. JR. PT, MBA (PRESIDENT/OFFICER)
(301) 729-3485
Entity
Organization
Contact information
Practice address
11801 UPPER POTOMAC INDSTRL PARK ST SW, CUMBERLAND, MD 21502-5139
(301) 729-3485
(301) 729-0158
Mailing address
11801 UPPER POTOMAC INDSTRL PARK ST SW, CUMBERLAND, MD 21502-5139
(301) 729-3485
(301) 729-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017320
WORKERS COMPENSATION
WV
01
—
11015
WORKERS COMPENSATION
MD
01
—
116441251494
HUMANA INSURANCE CO
—
01
—
222830
MAMSI
MD
05
—
3810003745
—
MD
05
—
3810003745
—
WV
01
—
5766011
AETNA
—
01
—
CM4138
RAILROAD MEDICARE
—
01
—
R950
CAREFIRST BCBS OF DC NCA
—
01
—
S986
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/20/2006
Last updated
02/11/2022
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