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Mr. John Douglass Wallop

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic Physical Therapist - Pediatrics

2661 Riva Rd Bldg 600, Suite 601
Annapolis , Maryland 21401-7353

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Mr. John Douglass Wallop

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic Physical Therapist - Pediatrics

2661 Riva Rd Bldg 600, Suite 601
Annapolis , Maryland 21401-7353

(410) 266-3026 Call

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Physical Therapist - Pediatrics
  • Physical Therapist - Sports
  • Physical Therapist - Orthopedic

Languages spoken

  • English

Location

2661 Riva Rd Bldg 600, Suite 601 Annapolis , Maryland 21401-7353

First Address

  • Mr. John Douglass Wallop
  • 2661 Riva Rd Bldg 600, Suite 601
  • Annapolis, MD
  • Zip : 21401-7353
  • Fax : (410) 266-3026
  • Phone : (410) 266-6626

Second Address

  • Mr. John Douglass Wallop
  • 2661 Riva Rd Bldg 600, Suite 601
  • Annapolis, MD
  • Zip : 21401-7353
  • Fax : (410) 266-3026
  • Phone : (410) 266-6626

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FAQs


Where did Mr. John Douglass Wallop attend graduate school?

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Where did Mr. John Douglass Wallop do his residency?

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Where did Mr. John Douglass Wallop do his fellowship?

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Is Mr. John Douglass Wallop board certified?

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What type of doctor is Mr. John Douglass Wallop

Physical Therapist

In what state does Mr. John Douglass Wallop practice in?

Maryland

Where is Mr. John Douglass Wallop ’s practice located?

2661 Riva Rd Bldg 600, Suite 601 , Annapolis, Maryland, 21401-7353

What is Mr. John Douglass Wallop ’s gender?

Male

Is Mr. John Douglass Wallop a sole practitioner?

No

Is Mr. John Douglass Wallop accepting new patients?

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What languages does Mr. John Douglass Wallop speak?

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Does Mr. John Douglass Wallop accept insurance?

Yes, Mr. John Douglass Wallop accepts insurance

Does Mr. John Douglass Wallop offers telemedicine?

Mr. John Douglass Wallop has not indicated if he offers telemedicine

What is Mr. John Douglass Wallop ’s professional license number?

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What is Mr. John Douglass Wallop ’s NPI number?

1275526253

Does Mr. John Douglass Wallop have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225100000X Physical Therapist 17006 MD
N 2251P0200X Physical Therapist - Pediatrics 17006 MD
N 2251S0007X Physical Therapist - Sports 17006 MD
N 2251X0800X Physical Therapist - Orthopedic 17006 MD

National Provider Identifier

NPI 1275526253
Provider Name Mr. John Douglass Wallop
First Address Annapolis, MD 21401-7353
Second Address Annapolis, MD 21401-7353
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/08/2005
Last Update Date 09/05/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
17006 (02) MD
227912 MAMSI PROVIDER NUMBER (01) MD
2621453 AETNA HMO NUMBER (01) MD
53056502 BC REGION RENDERING # (01) MD
7947168 AETNA NON-HMO NUMBER (01) MD
KN59 BLUE CROSS LOCAL # (01) MD
W0290002 BC FEDERAL, BLUE CHOICE # (01) MD

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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