Active NPI
Charm City Physical Therapy, LLC
- Physical Therapist
- Dundalk, MD
National Provider Identifier
1205435153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CHARM CITY PHYSICAL THERAPY, LLC
- Practice address
- 6723 Railway Ave
Dundalk, MD 21222-1052 - Phone
- (717) 350-0530
- NPI assigned
- Oct 21, 2020
- Last updated
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paige Grab, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (717) 350-0530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
6723 Railway Ave
Dundalk, MD 21222-1052
Mailing address
6723 Railway Ave
Dundalk, MD 21222-1052
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Dundalk, MD
- NPI 1447628631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1205435153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 RAILWAY AVE",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212221052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 RAILWAY AVE",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212221052",
"telephone_number": "717-350-0530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARM CITY PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "GRAB",
"authorized_official_first_name": "PAIGE",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "717-350-0530",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.