Lance Lee Gardner, PT
Lance Lee Gardner, PT is a Physical Therapist in Private Practice in Rising Sun, Maryland. Qualified in 2001, 25 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.
- Years since qualifying
- 25
- Licensed in
- MD, PA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
52 Rising Sun Town CtrRising Sun, MD 21911-1902
Phone: (410) 658-0100
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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 22795 (MD) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence PT015177 (PA) |
Record details
| NPI number | 1710088141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | March 15, 2024 |
| Certification date | March 15, 2024 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440-4909 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Ati Holdings, Llc — 439 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |