Organization Active NPI

George P Prevas PA

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1073626263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

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.

Verify at the official NPI Registry.