Provider Demographics
NPI:1871250936
Name:ESSMAN, MICHELLE (PT, PA-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ESSMAN
Suffix:
Gender:F
Credentials:PT, PA-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:RITLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2435 W BELVEDERE AVE STE 42
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5224
Mailing Address - Country:US
Mailing Address - Phone:410-601-5957
Mailing Address - Fax:410-601-1441
Practice Address - Street 1:2435 W BELVEDERE AVE STE 42
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5224
Practice Address - Country:US
Practice Address - Phone:410-601-5957
Practice Address - Fax:410-601-1441
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20552225100000X
OHPT009536225100000X
MDC0008180363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist