NPIMap

Organization Active NPI

Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Forest Hill, MD
National Provider Identifier
1184049967
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY OF MARYLAND LLC
Practice address
1694 Water Tower Way Ste 107
Forest Hill, MD 21050-1774
Phone
(410) 420-2257
Fax
(410) 420-2267
NPI assigned
Mar 3, 2014
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Thomas Bryan Barganier
Title
Cfo
Phone
(205) 536-7602

Specialties & licenses 1

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

Addresses

Primary practice location

1694 Water Tower Way Ste 107
Forest Hill, MD 21050-1774

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140602000154 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173746609 Receives reassigned benefits from 57 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, MD; Baltimore, MD; Bel Air, MD; Cockeysville, MD; Elkton, MD; Fallston, MD; Forest Hill, MD; Fulton, MD…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1401 Conowingo Rd
#C
Bel Air, MD 21014
Phone (410) 399-9590

5 Bel Air South Pkwy
Ste 503B
Bel Air, MD 21015
Phone (410) 399-9590

580 Cranbrook Rd
Cockeysville, MD 21030
Phone (443) 578-3988

2735B Fallston Rd
Fallston, MD 21047
Phone (443) 853-8688

1694 Water Tower Way
Ste 107
Forest Hill, MD 21050
Phone (410) 420-2257

11710 E Market Pl
Ste F
Fulton, MD 20759
Phone (301) 490-0419

7939 Honeygo Blvd
Ste 131
Nottingham, MD 21236
Phone (410) 931-2738

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1184049967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 WATER TOWER WAY STE 107",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501774",
            "telephone_number": "410-420-2257",
            "fax_number": "410-420-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "BARGANIER",
        "authorized_official_first_name": "THOMAS BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-536-7602"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.