NPIMap

Organization Active NPI

Opal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
National Provider Identifier
1336010784
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPAL PHYSICAL THERAPY, LLC
Practice address
703 Giddings Ave Ste M1
Annapolis, MD 21401-1411
Phone
(443) 906-1510
Fax
(443) 906-1511
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Laura L TallmanNPI 1366468175
Title
Owner
Phone
(410) 721-7201

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

703 Giddings Ave Ste M1
Annapolis, MD 21401-1411

Mailing address

770 Ritchie Hwy Ste W23&W24
Severna Park, MD 21146-4149
Phone (443) 906-1510

Other names 1

  • Encore Physical Therapy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Encore Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

770 Ritchie Hwy
Ste W23
Severna Park, MD 21146
Phone (443) 906-1510

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1336010784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RITCHIE HWY STE W23&W24",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464149",
            "telephone_number": "443-906-1510",
            "fax_number": "443-906-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 GIDDINGS AVE STE M1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011411",
            "telephone_number": "443-906-1510",
            "fax_number": "443-906-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "TALLMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-721-7201"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.