Individual provider Active NPI

Roderick Fortunato B Filart, PHYSICAL THERAPIST

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1053685800
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23211 Issued in MD
Practice address
701 E Naylor Mill Rd Unit F
Salisbury, MD 21804-2308
Phone
(443) 944-0037
Fax
(443) 210-2473
NPI assigned
Feb 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23211 MD Primary

Addresses

Primary practice location

701 E Naylor Mill Rd Unit F
Salisbury, MD 21804-2308

Mailing address

701 E Naylor Mill Rd Unit F
Salisbury, MD 21804-2308
Phone (443) 944-0037

Other identifiers 1

IdentifierTypeStateIssuer
286302200MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000009 MD Practitioner - Physical Therapist in Private Practice 4789973066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23211MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients
Peninsula Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients

Locations

720 E College Ave
Ste 11
Salisbury, MD 21804
Phone (410) 603-9237

701 E Naylor Mill Rd
Unit F
Salisbury, MD 21804
Phone (443) 944-0037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1053685800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E NAYLOR MILL RD UNIT F",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042308",
            "telephone_number": "443-944-0037",
            "fax_number": "443-210-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E NAYLOR MILL RD UNIT F",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042308",
            "telephone_number": "443-944-0037",
            "fax_number": "443-210-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILART",
        "first_name": "RODERICK FORTUNATO",
        "middle_name": "B",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-25",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286302200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.