Individual provider Active NPI

Vincent Friedman, DPT

  • Physical Therapist
  • Stevensville, MD
National Provider Identifier
1295109130
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25753 Issued in MD
Practice address
155 Sallitt Dr Ste B
Stevensville, MD 21666-2279
Phone
(410) 604-2162
Fax
(410) 604-2975
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 25753 MD Primary

Addresses

Primary practice location

155 Sallitt Dr Ste B
Stevensville, MD 21666-2279

Mailing address

3179 Braverton St Ste 201
Edgewater, MD 21037-2667
Phone (410) 604-2162

Other practice location 1

4367 Northview Dr
Bowie, MD 20716-2603
Phone (301) 464-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105000550 MD Practitioner - Physical Therapist in Private Practice 5597067850 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Sallitt Dr
Suite B
Stevensville, MD 21666-2279
Phone (410) 604-2162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25753MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Forum of Maryland, LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Bayside Physical Therapy & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Bayside Physical Therpay and Sports Rehabilitation, Inc Physical Therapist PastSince Aug 3, 2025 Accepting new patients
Fitness Forum of Maryland, LLC PastSince Feb 18, 2024 Accepting new patients

Locations

2448 Holly Ave
Ste 200
Annapolis, MD 21401
Phone (410) 295-4941

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

202 Coursevall Dr
Ste 111
Centreville, MD 21617
Phone (410) 758-0018

70 Central Ave W
Edgewater, MD 21037
Phone (410) 481-1140

9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469

3179 Braverton St
Ste 201
Edgewater, MD 21037
Phone (410) 956-4308

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813

155 Sallitt Dr
Ste B
Stevensville, MD 21666
Phone (410) 604-2162

Organizations & group practices 7

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1295109130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST STE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372667",
            "telephone_number": "410-604-2162",
            "fax_number": "410-604-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SALLITT DR STE B",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662279",
            "telephone_number": "410-604-2162",
            "fax_number": "410-604-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4367 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162603",
            "country_code": "US",
            "telephone_number": "301-464-4500",
            "fax_number": "301-464-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.