Active NPI
Dennis Artiga De Leon, PT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1144656521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18611
- Practice address
- 7141 Security Blvd
Baltimore, MD 21244-1811 - Phone
- (443) 663-6200
- Fax
- (443) 663-6211
- NPI assigned
- Sep 18, 2013
- Sex
- Male
- 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 | 18611 | MD | Primary |
Addresses
Primary practice location
7141 Security Blvd
Baltimore, MD 21244-1811
Mailing address
19 Danben CT
Nottingham, MD 21236-2426
Phone (410) 870-1016
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18611 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1144656521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DANBEN CT",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362426",
"telephone_number": "410-870-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 SECURITY BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "443-663-6200",
"fax_number": "443-663-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "DENNIS",
"middle_name": "ARTIGA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.