NPIMap

Organization Active NPI

Physical Therapy & Wellness Center

  • Orthopedic Physical Therapist
  • Parkville, MD
National Provider Identifier
1184944266
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19135 Issued in MD
Legal business name
PHYSICAL THERAPY & WELLNESS CENTER
Practice address
1809 B East Joppa Road
Parkville, MD 21234
Phone
(410) 665-1165
Fax
(410) 665-1165
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Miss Nejama Granada, PHYSICAL THERAPIST
Title
Manager
Phone
(410) 665-1165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 19135 MD Primary

Addresses

Primary practice location

1809 B East Joppa Road
Parkville, MD 21234

Mailing address

1809 B East Joppa Road
Parkville, MD 21234
Phone (410) 665-1165

National Provider Directory

National Provider Directory

Locations

1809 E Joppa Rd
#B
Parkville, MD 21234
Phone (410) 665-1165

8641 Loch Raven Blvd
Ste 3D
Towson, MD 21286
Phone (410) 387-9524

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1184944266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 B EAST JOPPA ROAD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-1165",
            "fax_number": "410-665-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 B EAST JOPPA ROAD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-1165",
            "fax_number": "410-665-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "GRANADA",
        "authorized_official_first_name": "NEJAMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-665-1165",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.