Sparks Physical Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPARKS PHYSICAL THERAPY, INC.

Practice address

954 Ridgebrook Rd Ste 310-330
Sparks, MD 21152-9468

Phone

(443) 212-5745

Fax

(443) 212-5749

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Irina Mercedes Figueroa-Velez

Title

Office Manager

Phone

(443) 212-5745

Specialties & licenses 1

Addresses

Tax ID family

Sparks Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sparks Physical Therapy, Inc.

  • Multi-Specialty Clinic/Center
  • Sparks Glencoe, MD
  • NPI 1033738687
  NPD tax ID
• Sparks Physical Therapy, Inc.

  • Physical Therapist
  • Sparks, MD
  • NPI 1811716806
  NPD tax ID

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1043035157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310-330",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529468",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310-330",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529468",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA-VELEZ",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-212-5745"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Simpson
• Amanda Slenbaker
• Lateres Smith
• Hannah Kathleen Sortino
• Sparks Pediatric Dentistry
• Sparks Physical Therapy, Inc.
• Jeanne Kathleen Sparks, PA-C
• Spectrum Speech Therapy
• Caitlin Lee Sprouse
• Khayla Staples

• Occupational Therapist in Sparks, MD
• Providers in Sparks, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.