WAKEFIELD PHYSICAL THERAPY LLC NPI 1124572383

NPI Information

  • NPI: 1124572383
  • Provider Name: WAKEFIELD PHYSICAL THERAPY, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 416 TIMBER LN
    GRASONVILLE, MD
    ZIP 21638
  • Phone: (410) 991-7880

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NPI Details

WAKEFIELD PHYSICAL THERAPY, LLC is a specialist in Grasonville, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WAKEFIELD PHYSICAL THERAPY, LLC NPI is 1124572383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

416 TIMBER LN
GRASONVILLE, MD
ZIP 21638-263
Phone: (410) 991-7880

The provider's authorized official is Karen Wakefield .
The authorized official title is Physical Therapist, Owner and has the following contact phone number (410) 991-7880.

The enumeration date for this NPI number is 8/5/2016 and was last updated on 8/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist18866MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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