Heritage Harbour Physical Therapy LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

17650 Issued in MD

Legal business name

HERITAGE HARBOUR PHYSICAL THERAPY LLC

Practice address

1783 Forest Dr # 307
Annapolis, MD 21401-4229

Phone

(571) 208-3099

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Jeffrey Mitchell

Title

Member

Phone

(571) 208-3099

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joanna Brown, PTA

  • Physical Therapy Assistant
  • Annapolis, MD
  • NPI 1285169326
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1235643305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 FOREST DR # 307",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014229",
            "telephone_number": "571-208-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 FOREST DR # 307",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014229",
            "telephone_number": "571-208-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HARBOUR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "571-208-3099"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MD",
            "license": "17650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Michele Henry, PA-C
• Franklin R Hepfer, P.A.
• Martha Eg Herb, LCPC
• Shirley A Herbert, LCSW-C
• Heritage Harbour Health and Rehab
• Cara J Herman, PA-C
• Heather Herman, M.D.
• Sarah Lynn Hern, LCSW-C
• Megan Hernandez, DPT
• Reynier Hernandez, MD

• All providers in Annapolis, MD
• Geriatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.