NPIMap

Organization Active NPI

Sports and Orthopedic Therapy Services LLC

  • Physical Therapist
  • Kensington, MD
National Provider Identifier
1245304518
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC
Practice address
10605 Concord Street
Suite 105
Kensington, MD 20895
Phone
(301) 946-7717
Fax
(301) 946-8794
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. John A Romero, MA PT SCS
Title
Physical Therapist Owner
Phone
(301) 946-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10605 Concord Street
Suite 105
Kensington, MD 20895

Mailing address

10605 Concord Street
Suite 105
Kensington, MD 20895
Phone (301) 946-7717

Other names 1

  • Sports LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000713 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133179005 Receives reassigned benefits from 9 practitioners
Practice locations: Kensington, MD

National Provider Directory

National Provider Directory

Locations

10605 Concord St
Ste 105
Kensington, MD 20895
Phone (301) 946-7717

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1245304518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 CONCORD STREET",
            "address_2": "SUITE 105",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-946-7717",
            "fax_number": "301-946-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 CONCORD STREET",
            "address_2": "SUITE 105",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-946-7717",
            "fax_number": "301-946-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "301-946-7717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA PT SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.