Max Bloom RPT PA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10280 Issued in MD

Legal business name

MAX BLOOM RPT PA

Practice address

583 Frederick Rd
Suite 4
Baltimore, MD 21228-4697

Phone

(410) 788-0505

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Sharon White

Title

General Manager

Phone

(410) 788-0505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1316197361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD",
            "address_2": "SUITE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "410-788-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD",
            "address_2": "SUITE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "410-788-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX BLOOM RPT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "410-788-0505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "10280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Mavronis, PHARMACIST
• Dimitrios V. Mavrophilipos, M.D.
• Zacharias Mavrophilipos, M.D.
• Ernest Shungu Mavunga, M.D.
• Resham Mawalkar
• Max Weisfeld, D.P.M., PA (Hamilton Foot Care)
• Max Weisfeld, DPM, PA
• Max Weisfeld, DPM, PA (Joppa Foot Care Ambulatory Surgical nCenter)
• Max Weisfeld, DPM, PA
• Caroline Alexandra Maxfield, SLP - CFY

• 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 Sep 26, 2008; 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.