Dundalk Village Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DUNDALK VILLAGE THERAPY, INC.

Practice address

2 Dunmanway
Suite 220
Baltimore, MD 21222-5144

Phone

(410) 282-9331

Fax

(410) 282-9332

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Desales Schroen, P.T.A,NPI 1215154448

Title

Vice President, Treasurer

Phone

(410) 282-9331

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Desales Schroen, P.T.A.

  • Physical Therapy Assistant
  • Baltimore, MD
  • NPI 1215154448
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1215154653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUNMANWAY",
            "address_2": "SUITE 220",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212225144",
            "telephone_number": "410-282-9331",
            "fax_number": "410-282-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUNMANWAY",
            "address_2": "SUITE 220",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212225144",
            "telephone_number": "410-282-9331",
            "fax_number": "410-282-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK VILLAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SCHROEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DESALES",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER",
        "authorized_official_telephone_number": "410-282-9331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T.A,"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "R058 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "LM06",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806700700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dundalk Health & Wellness LLC
• Dundalk Health & Wellness LLC
• Dundalk Health & Wellness LLC
• Dundalk Health Services, Inc.
• Dundalk Health Services, Inc.
• Dundalk Youth Service Center
• Dundalk Youth Services Center
• Dundalk Youth Services Center
• Kayla Dunford, OT
• Shanae Dungee

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.