Organization Active NPI

Integrate Diagnostics

  • Clinical Electrophysiology Physical Therapist
  • Towson, MD
National Provider Identifier
1225825086
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
Legal business name
INTEGRATE DIAGNOSTICS
Practice address
515 Fairmount Ave Ste 100
Towson, MD 21286-8520
Phone
(443) 218-3379
Fax
(443) 218-6738
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Morgan Jones
Title
Credentialing Specialist
Phone
(912) 547-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X Primary

Addresses

Primary practice location

515 Fairmount Ave Ste 100
Towson, MD 21286-8520

Mailing address

217 Felton Rd
Lutherville, MD 21093-6419
Phone (443) 218-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250619000342 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901317502 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD; Glen Burnie, MD; Lutherville Timonium, MD; Towson, MD; White Marsh, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1225825086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FELTON RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936419",
            "telephone_number": "443-218-3379",
            "fax_number": "443-218-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868520",
            "telephone_number": "443-218-3379",
            "fax_number": "443-218-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "912-547-8904"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.