M Roth Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

M ROTH PHYSICAL THERAPY LLC

Practice address

6503 Hal CT
Baltimore, MD 21209-2623

Phone

(443) 762-5530

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Renna Thomas

Title

Credentialing Manager

Phone

(410) 663-4036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 5

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.

• Rachel Fingerer, DPT

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1144005570
  Medicare reassignment NPD
• Marc Roth, MSPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1386918001
  Medicare reassignment NPD
• Phyllis Rosenbloom Sykes, P.T.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1275826562
  Medicare reassignment NPD
• Avigayil Fischler, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1366583791
  NPD
• Yael Schwarzenberger, DPT

  • Physical Therapist
  • Flushing, NY
  • NPI 1295952281
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1093481988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 HAL CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092623",
            "telephone_number": "443-762-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 HAL CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092623",
            "telephone_number": "443-762-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ROTH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "410-663-4036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deatra Marie M Owens
• M S Brown Counseling Services LLC
• M. Barry Blum MD PA
• M.E. Counseling
• M&B Healthcare Staffing LLC
• M&J Global Healthcare LLC

• 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 Aug 19, 2021; 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.