Active NPI
JL3 Enterprises LLC
- Physical Therapist
- Bowie, MD
National Provider Identifier
1154077386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JL3 ENTERPRISES LLC
- Practice address
- 4000 Mitchellville Rd Ste B430
Bowie, MD 20716-3160 - Phone
- (240) 334-2300
- Fax
- (240) 334-2604
- NPI assigned
- Feb 25, 2022
- Organization subpart
- Yes
- Parent organization
- JL3 ENTERPRISES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janis J Gaskins
- Title
- Operations Manager
- Phone
- (301) 220-2316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd Ste B430
Bowie, MD 20716-3160
Mailing address
4000 Mitchellville Rd Ste B430
Bowie, MD 20716-3160
Phone (240) 334-2300
Other names 1
- FYZICAL THERAPY AND BALANCE CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- JL3 Enterprises LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1154077386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE B430",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163160",
"telephone_number": "240-334-2300",
"fax_number": "240-334-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE B430",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163160",
"telephone_number": "240-334-2300",
"fax_number": "240-334-2604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JL3 ENTERPRISES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JL3 ENTERPRISES LLC",
"enumeration_date": "2022-02-25",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "JANIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "301-220-2316"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FYZICAL THERAPY AND BALANCE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.