Professional Health Staffing of Maryland

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROFESSIONAL HEALTH STAFFING OF MARYLAND

Practice address

11350 McCormick Rd
Ep 1 Suite 503
Hunt Valley, MD 21031-1002

Phone

(410) 771-6868

Fax

(410) 771-8444

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Louise Locati-Boucher, OTR

Title

Vice President

Phone

(410) 771-6868

Specialties & licenses 1

Addresses

Other names 1

• MSI Outpatient Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174699698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EP 1 SUITE 503",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-771-6868",
            "fax_number": "410-771-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EP 1 SUITE 503",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-771-6868",
            "fax_number": "410-771-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH STAFFING OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCATI-BOUCHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-771-6868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSI Outpatient Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Preston
• Jada Preston
• Sharon Lynn Priebe, AU.D.
• Privia Medical Group, LLC
• Kelly Proctor
• Professional Pharmacy Services, Inc.
• Matthew Puffinburger
• Marian Pugh, LCSWC
• Arlene Puntiel
• Linda L Putsche, CRNP

• Physical Therapy Clinic/Center in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.