NPIMap

Organization Active NPI

Path 2 Purpose LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Denton, MD
National Provider Identifier
1063301471
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PATH 2 PURPOSE LLC
Practice address
300 Market St Ste 104
Denton, MD 21629-1051
Phone
(443) 286-9535
NPI assigned
Jul 1, 2025
Last updated
Mar 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Authorized official

Name
Nickia Williams, BS
Title
Ceo
Phone
(443) 286-9535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

300 Market St Ste 104
Denton, MD 21629-1051

Mailing address

3114 W North Ave
Baltimore, MD 21216-3012
Phone (443) 286-9535

National Provider Directory

National Provider Directory
Tax ID family
Path 2 Purpose9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772928000000",
    "number": "1063301471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163012",
            "telephone_number": "443-286-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARKET ST STE 104",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291051",
            "telephone_number": "443-286-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH 2 PURPOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-286-9535",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.