Individual provider Active NPI

Stefan Andrew Rasinski, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1275012981
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27098 Issued in MD
Practice address
4302 Laplata Ave
Baltimore, MD 21211-1676
Phone
(443) 841-2784
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27098 MD Primary

Addresses

Primary practice location

4302 Laplata Ave
Baltimore, MD 21211-1676

Mailing address

501 Stockley St
Rehoboth Beach, DE 19971-1845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004000174 DE Practitioner - Physical Therapist in Private Practice 2769733765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite PT LLC Physical Therapist Current Accepting new patients
Elite PT LLC CurrentSince Aug 22, 2018 Accepting new patients

Locations

1 Grenoble Pl
Rehoboth Beach, DE 19971
Phone (302) 226-2691

1 Righter Pkwy
Ste 150
Wilmington, DE 19803
Phone (302) 317-2747

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1275012981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STOCKLEY ST",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 LAPLATA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111676",
            "telephone_number": "443-841-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASINSKI",
        "first_name": "STEFAN",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 31, 2022; 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.