Birch Tree Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BIRCH TREE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

2000 Girard Ave
Baltimore, MD 21211-1595

Phone

(443) 977-4470

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sean Vincent McComiskey, PT, DPTNPI 1407336969

Title

Owner, Physical Therapist

Phone

(443) 977-4470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Sean Vincent McComiskey, PT, DPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1407336969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1225650633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302411",
            "telephone_number": "443-801-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GIRARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111595",
            "telephone_number": "443-977-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH TREE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCOMISKEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-977-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sushmitha Biradar, MBBS, MD
• Damian Edwin Birchess, MD
• Andre Everton Bird
• Edward Leland Bird, MPAS, PA-C
• Frances Bird, M.D
• Kelly D Bird

• Physical Therapy Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.