NPIMap

Organization Active NPI

Annapolis Family Physical Therapy, Inc

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1104432731
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANNAPOLIS FAMILY PHYSICAL THERAPY, INC
Practice address
2006 Industrial Dr
Annapolis, MD 21401-2942
Phone
(410) 266-7174
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Shelley Flom
Title
Office Manager
Phone
(410) 266-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2006 Industrial Dr
Annapolis, MD 21401-2942

Mailing address

2564 Riva Rd
Annapolis, MD 21401-7405
Phone (410) 266-6626

National Provider Directory

National Provider Directory
Tax ID family
Annapolis Family Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1104432731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017405",
            "telephone_number": "410-266-6626",
            "fax_number": "410-266-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 INDUSTRIAL DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012942",
            "telephone_number": "410-266-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS FAMILY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "FLOM",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-266-6626"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.