George Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19134 Issued in MD

Legal business name

GEORGE PHYSICAL THERAPY

Practice address

2614 Pennsylvania Ave Ste a&B
Baltimore, MD 21217-1877

Phone

(410) 383-6665

Fax

(410) 383-6778

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sanu Mary Sen, PTNPI 1275735847

Title

President

Phone

(410) 383-6665

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanu Mary Sen, PT

  • Specialist
  • Baltimore, MD
  • NPI 1275735847
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1083783583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6281",
            "address_2": "GEORGE PHYSICAL THERAPY",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21094",
            "telephone_number": "410-383-6665",
            "fax_number": "410-383-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 PENNSYLVANIA AVE STE A&B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171877",
            "telephone_number": "410-383-6665",
            "fax_number": "410-383-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "SANU",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-383-6665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281106501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn Geonnotti, RD
• Kyra Georgas, LGPC
• George H. Sack, Jr LLC
• George Karkar MD PA
• George P Prevas PA
• George T. Grace, M.D. Surgery Center
• George Thomas Grace, M.D., P.a.
• George Vranian, M.D.,PA
• Arvin George, MB BCH BAO
• Ashley Fae George, CRNP

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.