Mount Washington Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18331 Issued in MD

Legal business name

MOUNT WASHINGTON PHYSICAL THERAPY, LLC

Practice address

1501 Sulgrave Ave
Suite 307
Baltimore, MD 21209-3654

Phone

(410) 542-6878

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Joshua Wies, PTNPI 1164877205

Title

Owner

Phone

(410) 913-9829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Joshua Tobin Wies

  • Physical Therapist
  • Baltimore, MD
  • NPI 1164877205
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1295180487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CROSS COUNTRY BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094223",
            "telephone_number": "410-913-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "SUITE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "410-542-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT WASHINGTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WIES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-913-9829",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "18331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Alison Moulder
• Yvette Moulton, LCPC
• Monique Lynn Mounce, PHARMD CANDIDATE
• Mount Clare Medical Center, Inc.
• Mount Washington Orthodontics
• Mount Washington Physical Therapy, LLC
• Mount Washington Psych Associates, LLC
• Mount Washington Psych Associates, LLC
• Mountain Valley Health
• Mountain View Therapeutic Wellness Center

• Physical Therapy Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.