Provider Demographics
NPI:1194813501
Name:LUBICK, AARON MICHAEL (PT)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:LUBICK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENBELT RD
Mailing Address - Street 2:SUITE L-7
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2354
Mailing Address - Country:US
Mailing Address - Phone:301-345-3711
Mailing Address - Fax:301-220-0596
Practice Address - Street 1:6201 GREENBELT RD
Practice Address - Street 2:SUITE L-7
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2354
Practice Address - Country:US
Practice Address - Phone:301-345-3711
Practice Address - Fax:301-220-0596
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2636350OtherAETNA
MDLP52OtherCAREFIRST MD
MD352546OtherMAMSI
90487Other90487
DCS9610001OtherCAREFIRST DC
MDLP52OtherCAREFIRST MD
P16413Medicare UPIN
G02149S14Medicare ID - Type UnspecifiedPROVIDER NUMBER