Organization Active NPI

Lemoine & Associates Physical Therapy, Inc

  • Physical Therapist
  • Rosedale, MD
National Provider Identifier
1184921736
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20651 Issued in MD
Legal business name
LEMOINE & ASSOCIATES PHYSICAL THERAPY, INC
Practice address
1232 Race Rd Ste. 203
Rosedale, MD 21237-2376
Phone
(410) 918-0080
Fax
(410) 918-0050
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Gregory Keith Lemoine, PT, DPTNPI 1255389169
Title
Coo and Founder
Phone
(410) 918-0080

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 20651 MD Primary

Addresses

Primary practice location

1232 Race Rd Ste. 203
Rosedale, MD 21237-2376

Mailing address

1232 Race Road Ste. 203
Rosedale, MD 21237
Phone (410) 918-0080

Other practice location 1

6615 Reisterstown Rd Suite 300
Baltimore, MD 21215
Phone (443) 627-8921

Other identifiers 3

IdentifierTypeStateIssuer
552121100MedicaidMD
1184921736OtherMDGROUP NPI NUMBER
DT8446OtherMDMEDICARE RR NUMBER

Other names 1

  • LeMoine Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000356 MD Part B Supplier - Clinic/Group Practice 2668658212 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Lemoine Associates Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1232 Race Rd
Ste 203
Rosedale, MD 21237
Phone (410) 780-1980

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1184921736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD STE. 203",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-918-0080",
            "fax_number": "410-918-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE. 203",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372376",
            "telephone_number": "410-918-0080",
            "fax_number": "410-918-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6615 Reisterstown Rd Suite 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21215",
            "country_code": "US",
            "telephone_number": "443-627-8921",
            "fax_number": "410-918-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEMOINE & ASSOCIATES PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "LEMOINE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "COO AND FOUNDER",
        "authorized_official_telephone_number": "410-918-0080",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552121100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1184921736",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR NUMBER",
            "identifier": "DT8446",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeMoine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.