Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

56 West Frederick Street Operations LLC

Organization Physical Therapist · NPI 1407200884

56 West Frederick Street Operations LLC is a Physical Therapist in Walkersville, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 W Frederick St
Walkersville, MD 21793-8254
Phone: (301) 898-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10015 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 10015 (MD)

Record details

NPI number1407200884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (505) 468-4752
Other names Glade Valley Center
NPI enumeratedApril 21, 2016
Last updated in NPPESAugust 31, 2017
Mailing address56 W Frederick St, Walkersville, MD 21793-8254

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