Individual provider Active NPI

Calvin Imperio

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1295452340
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10750 Columbia Pike Ste 401B
Silver Spring, MD 20901-4457
Phone
(443) 512-8337
NPI assigned
Oct 19, 2022
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 NU Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 401B
Silver Spring, MD 20901-4457

Mailing address

4810 River Creek Ter
Beltsville, MD 20705-5109
Phone (941) 724-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Centers LLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

136 S Philadelphia Blvd
Ste C
Aberdeen, MD 21001

100 Walter Ward Blvd
Ste 200
Abingdon, MD 21009
Phone (443) 512-8484

11701 Livingston Rd
Ste 202
Ft Washington, MD 20744
Phone (301) 292-6010

9526 Philadelphia Rd
Rosedale, MD 21237
Phone 4435128337215

10750 Columbia Pike
Ste 401B
Silver Spring, MD 20901
Phone (301) 592-1500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1295452340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 RIVER CREEK TER",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207055109",
            "telephone_number": "941-724-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 401B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014457",
            "telephone_number": "443-512-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPERIO",
        "first_name": "CALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.