NPIMap

Organization Active NPI

Dominion Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Timonium, MD
National Provider Identifier
1316085533
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19758 Issued in MD
Legal business name
DOMINION PHYSICAL THERAPY LLC
Practice address
22 W Padonia Rd
Suite C132
Timonium, MD 21093-2226
Phone
(410) 560-5944
Fax
(410) 560-6944
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Rossina Lolita RamirezNPI 1215932314
Title
Owner
Phone
(410) 560-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 19758 MD Primary

Addresses

Primary practice location

22 W Padonia Rd
Suite C132
Timonium, MD 21093-2226

Mailing address

22 W Padonia Rd
Suite C132
Timonium, MD 21093-2226
Phone (410) 560-5944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000326 MD Part B Supplier - Clinic/Group Practice 1951346196 Receives reassigned benefits from 3 practitioners
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

22 W Padonia Rd
Ste C132
Timonium, MD 21093
Phone (410) 560-5944

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1316085533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE C132",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "410-560-5944",
            "fax_number": "410-560-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE C132",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "410-560-5944",
            "fax_number": "410-560-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ROSSINA",
        "authorized_official_middle_name": "LOLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-560-5944"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.