NPIMap

Organization Active NPI

Salisbury Musculoskeletal Clinic

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1164622643
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
Q00754 Issued in MD
Legal business name
SALISBURY MUSCULOSKELETAL CLINIC
Practice address
32071 Beaver Run Dr Ste B
Salisbury, MD 21804-1773
Phone
(410) 341-6520
Fax
(410) 341-6526
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Peter Sebastian, D.O.
Title
Partner
Phone
(410) 341-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Q00754 MD Primary

Addresses

Primary practice location

32071 Beaver Run Dr Ste B
Salisbury, MD 21804-1773

Mailing address

32071 Beaver Run Dr Ste B
P.O. Box 1859
Salisbury, MD 21804-1773
Phone (410) 341-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000224 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678550555 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

32071 Beaver Run Dr
Ste B
Salisbury, MD 21804
Phone (410) 341-0520

Practitioners & affiliated clinicians

Practitioners 4

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1164622643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR STE B",
            "address_2": "P.O. BOX 1859",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041773",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041773",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY MUSCULOSKELETAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-341-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "Q00754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.