Organization Active NPI

Maryland Injury Center, LLC

  • Physical Therapy Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1154618023
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
03591 Issued in MD
Legal business name
MARYLAND INJURY CENTER, LLC
Practice address
3321 Toledo Ter
Suite 204
Hyattsville, MD 20782-4150
Phone
(301) 853-1516
Fax
(301) 853-1517
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mr. Roberson Lapierre
Title
Office Director
Phone
(301) 853-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 03591 MD Primary

Addresses

Primary practice location

3321 Toledo Ter
Suite 204
Hyattsville, MD 20782-4150

Mailing address

3321 Toledo Ter
Suite 204
Hyattsville, MD 20782-4150
Phone (301) 853-1516

National Provider Directory

National Provider Directory

Locations

3321 Toledo Ter
Ste 204
Hyattsville, MD 20782
Phone (301) 853-1516

Practitioners & affiliated clinicians

Practitioners 1

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": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1154618023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 TOLEDO TER",
            "address_2": "SUITE 204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824150",
            "telephone_number": "301-853-1516",
            "fax_number": "301-853-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 TOLEDO TER",
            "address_2": "SUITE 204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824150",
            "telephone_number": "301-853-1516",
            "fax_number": "301-853-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "LAPIERRE",
        "authorized_official_first_name": "ROBERSON",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "301-853-1516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "03591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.