Active NPI
Lourizza Mae Catague Sampalocia
- Physical Therapist
- Ellicott, MD
National Provider Identifier
1114102795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3290 Executive Center II
North Ridge Road Suite 290
Ellicott, MD 21043 - Phone
- (410) 750-9006
- NPI assigned
- Jan 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | FL | Primary |
Addresses
Primary practice location
3290 Executive Center II
North Ridge Road Suite 290
Ellicott, MD 21043
Mailing address
3290 Executive Center II
North Ridge Road Suite 290
Ellicott, MD 21043
Phone (410) 750-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1114102795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 EXECUTIVE CENTER II",
"address_2": "NORTH RIDGE ROAD SUITE 290",
"city": "ELLICOTT",
"state": "MD",
"postal_code": "21043",
"telephone_number": "410-750-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 EXECUTIVE CENTER II",
"address_2": "NORTH RIDGE ROAD SUITE 290",
"city": "ELLICOTT",
"state": "MD",
"postal_code": "21043",
"telephone_number": "410-750-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPALOCIA",
"first_name": "LOURIZZA MAE",
"middle_name": "CATAGUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.