MR. RICK NELSON PROTHERO PT
NPI 1306846985
Physical Therapist - Orthopedic in Havre De Grace, MD

Q: What is Rick Prothero's NPI number?

The NPI number for Rick Prothero is 1306846985. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Rick Prothero's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Rick Prothero was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2005Accepts Medicare Assignment

807A S UNION AVE, HAVRE DE GRACE, MD 21078(410) 939-2262(410) 939-7119 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Rick Nelson Prothero Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICK NELSON PROTHERO PT (NPI 1306846985) is an individual orthopedic provider in Havre De Grace, Maryland, licensed in Maryland (14518) and active in the NPI registry since July 2005. He is a graduate of Other (1976).

NPPES Registry Identity

NPI1306846985

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. RICK NELSON PROTHEROCredential: PT

Location Address807A S UNION AVEHavre De Grace, MD 21078-3610

Mailing Address807a S Union AveHavre De Grace, MD 21078-3610 · (410) 939-2262 · Fax (410) 939-7119

Phone(410) 939-2262

Fax(410) 939-7119

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateJuly 26, 2005

Last NPPES UpdateSeptember 23, 2011

✔ NPI 1306846985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MD · 14518

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

807A S UNION AVE, Havre De Grace, MD 21078

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Other Identifiers 4

Medicaid391101200MD

Medicare ID-Type Unspecified954L514EMD

Medicare UPINR12030

Other650020355MD · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rick Nelson Prothero Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214943760

PECOS Enrollment IDI20101020000517

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LYNN SCHMUFF MS, OTR/L

Occupational Therapist