# MARYLAND PHYSICAL THERAPY SERVICES OF FREDERICK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Physical Therapy Services of Frederick
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538773403
- **Authorized official:** JOSHUA L. PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 6441 JEFFERSON PIKE, FREDERICK, MD 21703-7039
- **Practice address phone:** (240) 215-3466
- **Practice address fax:** (240) 215-3468
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 09/13/2024