Metra Health Park Service Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

METRA HEALTH PARK SERVICE CORP

Practice address

6810 Park Heights Ave Ste C-4
Baltimore, MD 21215-1641

Phone

(410) 358-6644

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elvira Shirokbrod

Title

Manager

Phone

(410) 358-6644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295767754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 PARK HEIGHTS AVE STE C-4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151641",
            "telephone_number": "410-358-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 PARK HEIGHTS AVE STE C-4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151641",
            "telephone_number": "410-358-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRA HEALTH PARK SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIROKBROD",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-358-6644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.