Canton Orthopaedic & Sports Rehabilitation Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17174 Issued in MD

Legal business name

CANTON ORTHOPAEDIC & SPORTS REHABILITATION INC

Practice address

808 S Conkling St
Baltimore, MD 21224

Phone

(410) 522-6978

Fax

(410) 522-0290

NPI assigned

Nov 14, 2007

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Peters

Title

Office Manager/Adminstrator

Phone

(410) 522-6978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• Stavros Anastasios Rologas, P.T.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1366422610
  Medicare reassignment NPD
• Neonela Ewell

  • Physical Therapy Assistant
  • Baltimore, MD
  • NPI 1538565056
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1114108545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 UMBRA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-522-6978",
            "fax_number": "410-522-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-522-6978",
            "fax_number": "410-522-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ORTHOPAEDIC & SPORTS REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMINSTRATOR",
        "authorized_official_telephone_number": "410-522-6978"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Irene Canto, M.D.
• Canton Child and Family Therapy Clinic LLC
• Canton Crossing Optometry, LLC (MyEyeDr)
• Canton Harbor Healthcare Center, Inc (FutureCare Canton)
• Canton Harbor Healthcare Center, Inc (Futurecare Canton)
• Canton Vision Center, Inc. (Canton Vision Center)
• Nechamah A Cantor, OTR/L
• Victoria Rose Cantoral, DO
• Julia Evon Cantwell, MS, OTR/L
• Nykael D Canty

• 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 30, 2023; 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.