NPIMap

Organization Active NPI

Sports Health and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Laurel, MD
National Provider Identifier
1225479017
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20594 Issued in MD
Legal business name
SPORTS HEALTH AND WELLNESS, LLC
Practice address
10521 Patuxent Ridge Way
Laurel, MD 20723-5719
Phone
(240) 583-0749
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Kathryn Anne Hernandez, DPT
Title
Owner
Phone
(240) 583-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20594 MD Primary

Addresses

Primary practice location

10521 Patuxent Ridge Way
Laurel, MD 20723-5719

Mailing address

10521 Patuxent Ridge Way
Laurel, MD 20723-5719

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1225479017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 PATUXENT RIDGE WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 PATUXENT RIDGE WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235719",
            "telephone_number": "240-583-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-583-0749",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

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