Harborside Physical Therapy and Wellness Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HARBORSIDE PHYSICAL THERAPY AND WELLNESS CENTER LLC

Practice address

7801 Old Branch Ave Ste 203
Clinton, MD 20735-1642

Phone

(240) 244-5614

Fax

(240) 348-4133

NPI assigned

Dec 14, 2017

Last updated

Mar 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Riendeau, DPTNPI 1619207057

Title

Owner

Phone

(240) 244-5614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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, and the practitioner matching its NPPES authorized official.

• Sandra Riendeau, PT

  • Physical Therapist
  • Laurel, MD
  • NPI 1619207057

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1255846184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 203",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351642",
            "telephone_number": "240-244-5614",
            "fax_number": "240-348-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 203",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351642",
            "telephone_number": "240-244-5614",
            "fax_number": "240-348-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE PHYSICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "RIENDEAU",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-244-5614",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamam Lamb & Turanchik DDS PA
• Sam J. Hamam, D.D.S.
• Antone Ashton Hamilton, PT, DPT
• Hands of Tranquility Inc
• Helen Hannah, CRNP
• Harmony Medical Transitions LLC
• Harmony Medical Transitions LLC
• Kevin Elliott Harper, SURGICAL ASSISTANT
• Vigila Constance Harris, MD FAAP
• Nicole Shawntel Harrison

• Physical Therapist in Clinton, MD
• Providers in Clinton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.