Active NPI
Phillip Ira Schimberg, PT
- Physical Therapist
- Lutherville, MD
National Provider Identifier
1265681746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14324
- Practice address
- 1205 York Rd
Suite 19
Lutherville, MD 21093-6210 - Phone
- (410) 296-9195
- Fax
- (410) 296-9197
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14324 | MD | Primary |
Addresses
Primary practice location
1205 York Rd
Suite 19
Lutherville, MD 21093-6210
Mailing address
1205 York Rd
Suite 19
Lutherville, MD 21093-6210
Phone (410) 296-9195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14324 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Fitness Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Ellicott City, MD
- NPI 1285882670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1265681746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 YORK RD",
"address_2": "SUITE 19",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936210",
"telephone_number": "410-296-9195",
"fax_number": "410-296-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 YORK RD",
"address_2": "SUITE 19",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936210",
"telephone_number": "410-296-9195",
"fax_number": "410-296-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMBERG",
"first_name": "PHILLIP",
"middle_name": "IRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.