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

Mr. Donald Gary Heacock, PT

Individual provider Physical Therapist · NPI 1023022324

Mr. Donald Gary Heacock, PT is a Physical Therapist in Private Practice in Glen Burnie, Maryland. Qualified in 1982, 44 years ago. Practices with Maryland Sportscare and Rehab LLC, a 161-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
44
Licensed in
MD
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7310 Ritchie Hwy Ste 500
Glen Burnie, MD 21061-3065
Phone: (410) 766-4435
Fax: (410) 766-4437
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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 15332 (MD)

Record details

NPI number1023022324
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Maryland Sportscare And Rehab Llc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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