Individual provider Active NPI

Sanu Mary Sen, PT

  • Specialist
  • Baltimore, MD
National Provider Identifier
1275735847
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19134 Issued in MD
Practice address
734 W North Ave
Baltimore, MD 21217-4431
Phone
(410) 383-6665
Fax
(410) 383-6778
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19134 MD Primary

Addresses

Primary practice location

734 W North Ave
Baltimore, MD 21217-4431

Mailing address

109 Hunts Bluff Rd
Sparks, MD 21152-9713
Phone (410) 383-6665

Other identifiers 1

IdentifierTypeStateIssuer
LX96OtherMDPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000376 MD Practitioner - Physical Therapist in Private Practice 5991792863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R&S Home Care, Inc Past Accepting new patients
Maryland Healthcare Clinics Past Accepting new patients
Mount Clare Medical Center, Inc. Past Accepting new patients
RTD Medical Center, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275735847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HUNTS BLUFF RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529713",
            "telephone_number": "410-383-6665",
            "fax_number": "410-383-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174431",
            "telephone_number": "410-383-6665",
            "fax_number": "410-383-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN",
        "first_name": "SANU",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "19134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "LX96",
            "state": "MD"
        }
    ],
    "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 Jul 9, 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.