Innovative MWLM LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INNOVATIVE MWLM LLC

Practice address

9526 Philadelphia Rd
Baltimore, MD 21237-4106

Phone

(443) 512-8337

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Bryan Morrow, MSPTNPI 1093760670

Title

Ceo

Phone

(443) 512-8337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Innovative Physical Therapy and Fitness Centers LLC

  • Multi-Specialty Clinic/Center
  • Abingdon, MD
  • NPI 1710411558

  Member Of

  NPD member

Practitioners 4

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

• Ann L Anderson, PA

  • Physician Assistant
  • Baltimore, MD
  • NPI 1902962442
  Medicare reassignment
• Esteban Schabelman, MD

  • Emergency Medicine Physician
  • Abingdon, MD
  • NPI 1962547786
  Medicare reassignment
• Bryan Morrow, PT

  • Physical Therapist
  • Abingdon, MD
  • NPI 1093760670
  NPD (past) Authorized official
• Lori Economos

  • Family Nurse Practitioner
  • Glen Mills, PA
  • NPI 1205970100
  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1306607569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374106",
            "telephone_number": "443-512-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374106",
            "telephone_number": "443-512-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MWLM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-512-8337",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovating Minds LLC
• Innovation Dental Center, LLC
• Innovative Healing Solutions,LLC
• Innovative Medical Devices LLC.
• Innovative MWLM LLC
• Innovative MWLM LLC
• Innovative MWLM LLC
• Innovative Physical Therapy and Fitness Centers LLC
• Innovative Physical Therapy and Fitness Centers, LLC
• Innovative Physical Therapy and Fitness Centers, LLC

• General Practice Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.