CPT, LLC

Organization Active NPI Occupational Therapist · Cumberland, MD

NPI 1063909448 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1063909448
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
Legal business name
CPT, LLC
Practice address
249 Henderson Ave
Cumberland, MD 21502-1638
Phone
(240) 362-7444
NPI assigned
Apr 20, 2018
Organization subpart
No

Authorized official

Name
Tiffany Kennell
Title
Billing/Credentialing Manager
Phone
(301) 722-0616

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
CPT LLC (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X Yes
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

249 Henderson Ave
Cumberland, MD 21502-1638

Mailing address

249 Henderson Ave
Cumberland, MD 21502-1638
Phone (240) 362-7444

Other identifiers

IdentifierTypeStateIssuer
240904600MedicaidMD

Other names

  • Potomac Behavioral and Occupational Therapy Doing business as

Other providers in Cumberland, MD

All providers in Cumberland, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.