NPIMap

Organization Active NPI

Baltimore Physical Aquatic & Sports Therapy LLC

  • Physical Therapy Clinic/Center
  • Towson, MD
National Provider Identifier
1285398453
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BALTIMORE PHYSICAL AQUATIC & SPORTS THERAPY LLC
Practice address
8757 Mylander LN
Towson, MD 21286-2102
Phone
(410) 213-5800
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Danielle Laurie GoldsteinNPI 1275688806
Title
Owner/Ceo
Phone
(410) 213-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8757 Mylander LN
Towson, MD 21286-2102

Mailing address

8757 Mylander LN
Towson, MD 21286-2102
Phone (410) 213-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000129 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254723703 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Towson, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1285398453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 MYLANDER LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862102",
            "telephone_number": "410-213-5800",
            "fax_number": "410-213-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 MYLANDER LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862102",
            "telephone_number": "410-213-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE PHYSICAL AQUATIC & SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-213-5800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.