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Walter Mady, PT
Sports Physical Therapist in Ellicott City, Maryland
NPI 1831185784

Walter Mady is a Sports Physical Therapist based in Ellicott City, MD and is specialized in Sports. Walter Mady practices in Ellicott City, MD and has the professional credentials of PT. The NPI Number for Walter Mady is 1831185784 and holds a License No. 15340 (Maryland).

The current practice location address for Walter Mady is 4801 Dorsey Hall Dr, Ellicott City, MD and can be reached out via phone at 410-730-9851 and via fax at 410-730-9855.

Location: 4801 Dorsey Hall Dr, Ellicott City, MD, 21042-7766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831185784
Provider Name
Walter Mady
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
4801 Dorsey Hall Dr, Ellicott City, MD, 21042-7766
Phone Number
410-730-9851
Fax Number
410-730-9855
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6545-0003 01 MD BLUE CHOICE
236397 01 MD MAMSI
institution
Provider Business Practice Location Address Details
Address
4801 Dorsey Hall Dr
City
Ellicott City
State
Maryland
Zip
21042-7766
Phone Number
410-730-9851
Fax Number
410-730-9855
person
Provider Business Mailing Address Details
Address
4801 Dorsey Hall Dr
City
Ellicott City
State
Maryland
Zip
21042-7766
Phone Number
410-730-9851
Fax Number
410-730-9855
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
15340 (Maryland)
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, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
15340 (Maryland)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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