NPIMap

Organization Active NPI

Annapolis Family Physical Therapy, Inc

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1225645195
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANNAPOLIS FAMILY PHYSICAL THERAPY, INC
Practice address
979 Bay Village Dr
Annapolis, MD 21403-4089
Phone
(410) 266-6626
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
John Douglass WallopNPI 1275526253
Title
President
Phone
(410) 266-6626

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)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

979 Bay Village Dr
Annapolis, MD 21403-4089

Mailing address

2564 Riva Rd
Annapolis, MD 21401-7405
Phone (410) 266-6626

National Provider Directory

National Provider Directory
Tax ID family
Annapolis Family Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1225645195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017405",
            "telephone_number": "410-266-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 BAY VILLAGE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034089",
            "telephone_number": "410-266-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS FAMILY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WALLOP",
        "authorized_official_first_name": "JOHN DOUGLASS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-266-6626"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.