Organization Active NPI

Active Day MD, Inc.

  • Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1235274333
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ACTIVE DAY MD, INC.
Doing business as
Active Day Rehabilitation Services
Practice address
1001 W Pratt St
Baltimore, MD 21223-2662
Phone
(410) 752-8787
Fax
(410) 752-8797
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Kris W. Baldock
Title
Chairman, Ceo, President
Phone
(443) 548-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1001 W Pratt St
Baltimore, MD 21223-2662

Mailing address

400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200

Other names 1

  • Active Day Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

1531 S Edgewood St
Ste L
Baltimore, MD 21227
Phone (410) 646-0345

1430 Joh Ave
Baltimore, MD 21227
Phone (410) 752-8787

1361 Brass Mill Rd
Ste C
Belcamp, MD 21017
Phone (410) 676-0997

1840 York Rd
Ste H
Timonium, MD 21093
Phone (410) 560-6717

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1235274333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDLAND CT",
            "address_2": "SUITE 114",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173270",
            "telephone_number": "443-548-2200",
            "fax_number": "443-548-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232662",
            "telephone_number": "410-752-8787",
            "fax_number": "410-752-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
        "authorized_official_telephone_number": "443-548-2201"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.