NPIMap

Organization Active NPI

Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • White Plains, MD
National Provider Identifier
1003031923
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19798 Issued in MD
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY
Practice address
10665 Stanhaven PL
Suite 103
White Plains, MD 20695-3060
Phone
(301) 645-6680
Fax
(301) 645-5363
NPI assigned
Apr 16, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert E Kans Jr.NPI 1639296866
Title
Owner
Phone
(301) 645-6680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19798 MD Primary

Addresses

Primary practice location

10665 Stanhaven PL
Suite 103
White Plains, MD 20695-3060

Mailing address

10665 Stanhaven PL
Suite 103
White Plains, MD 20695-3060
Phone (301) 645-6680

Other identifiers 5

IdentifierTypeStateIssuer
K7590001OtherMDCAREFIRST DC
60906402OtherMDCAREFIRST
2140256OtherMDUNITED HEALTHCARE
K7590001OtherMDBLUE CROSS FEDERAL
1064250OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000269 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436189610 Receives reassigned benefits from 4 practitioners
Practice locations: White Plains, MD

National Provider Directory

National Provider Directory

Locations

15814 Crain Hwy
Unit B
Brandywine, MD 20613
Phone (301) 645-6680

10665 Stanhaven Pl
Ste 103
White Plains, MD 20695
Phone (301) 645-6680

4470 Regency Pl
Ste 100
White Plains, MD 20695
Phone (301) 645-6680

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1003031923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL",
            "address_2": "SUITE 103",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953060",
            "telephone_number": "301-645-6680",
            "fax_number": "301-645-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL",
            "address_2": "SUITE 103",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953060",
            "telephone_number": "301-645-6680",
            "fax_number": "301-645-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "KANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-645-6680",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "K7590001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "60906402",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2140256",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "K7590001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1064250",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.