Organization Active NPI

Cambridge Physical Therapy and Sports Care, LLC

Doing business as Professional Physical Therapy and Sports Care

  • Physical Therapist
  • Cambridge, MD
National Provider Identifier
1053477935
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAMBRIDGE PHYSICAL THERAPY AND SPORTS CARE, LLC
Doing business as
Professional Physical Therapy and Sports Care
Practice address
321 Dorchester Ave
Suite B
Cambridge, MD 21613-2425
Phone
(410) 228-5100
Fax
(410) 228-7479
NPI assigned
Dec 28, 2006
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Christopher Throckmorton
Title
Ceo
Phone
(919) 258-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

321 Dorchester Ave
Suite B
Cambridge, MD 21613-2425

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other names 1

  • PROFESSIONAL PHYSICAL THERAPY AND SPORTS CARE Doing business as

National Provider Directory

National Provider Directory

Locations

200 Biddle Ave
Ste 213
Newark, DE 19702

640 Shoal Creek Mall
Unit 2
Cambridge, MD 21613
Phone (410) 228-5100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1053477935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-820-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DORCHESTER AVE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132425",
            "telephone_number": "410-228-5100",
            "fax_number": "410-228-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PHYSICAL THERAPY AND SPORTS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-258-2714"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHYSICAL THERAPY AND SPORTS CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROFESSIONAL PHYSICAL THERAPY AND SPORTS CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.