Ellen Kam
Ellen Kam is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2020, 6 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 6
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
6451 N Charles StBaltimore, MD 21212-1010
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 20898 (MD) |
|---|
Record details
| NPI number | 1992307193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 12, 2020 |
| Last updated in NPPES | November 12, 2020 |
| Certification date | November 12, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Privia Medical Group, Llc — 1518 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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