Active NPI
George P Prevas PA
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1073626263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GEORGE P PREVAS PA
- Practice address
- 117 Orville Road
Baltimore, MD 21221 - Phone
- (410) 686-2270
- Fax
- (410) 686-5447
- NPI assigned
- Aug 15, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George P Prevas, PT
- Title
- Owner President
- Phone
- (410) 515-0006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
117 Orville Road
Baltimore, MD 21221
Mailing address
117 Orville Road
Baltimore, MD 21221
Phone (410) 686-2270
Other names 1
- Baltimore Sports Rehabilitation & Physical Therapy
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Bel Air, MD
- NPI 1508979790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073626263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ORVILLE ROAD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21221",
"telephone_number": "410-686-2270",
"fax_number": "410-686-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 ORVILLE ROAD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21221",
"telephone_number": "410-686-2270",
"fax_number": "410-686-5447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE P PREVAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PREVAS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "410-515-0006",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baltimore Sports Rehabilitation & Physical Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.