NPIMap

Organization Active NPI

Earth Angels Inc. Outpatient Rehab

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1174894562
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EARTH ANGELS INC. OUTPATIENT REHAB
Practice address
2602 Somerton CT
Bowie, MD 20721-2981
Phone
(301) 213-9925
Fax
(301) 883-8414
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Ms. Rita EzeNPI 1437420056
Title
Owner/ Ceo
Phone
(301) 213-9925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

2602 Somerton CT
Bowie, MD 20721-2981

Mailing address

2602 Somerton CT
Bowie, MD 20721-2981
Phone (301) 213-9925

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1174894562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 SOMERTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212981",
            "telephone_number": "301-213-9925",
            "fax_number": "301-883-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SOMERTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212981",
            "telephone_number": "301-213-9925",
            "fax_number": "301-883-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH ANGELS INC. OUTPATIENT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "301-213-9925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 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.