NPIMap

Organization Active NPI

United Physical Therapy LLC

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1336448547
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNITED PHYSICAL THERAPY LLC
Practice address
7927 Ritchie Hwy
Suite B
Glen Burnie, MD 21061-4343
Phone
(410) 760-1230
Fax
(410) 760-6705
NPI assigned
Mar 28, 2011
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Mrs. Suzanne Michelle Taylor, PTNPI 1912139502
Title
Clinic Director/Owner
Phone
(410) 760-1230

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7927 Ritchie Hwy
Suite B
Glen Burnie, MD 21061-4343

Mailing address

7927 Ritchie Hwy
Suite B
Glen Burnie, MD 21061-4343
Phone (410) 760-1230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000450 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123205697 Receives reassigned benefits from 6 practitioners
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

6714 Ritchie Hwy
Ste H
Glen Burnie, MD 21061
Phone (410) 760-1230

6714 Ritchie Hwy
Ste I
Glen Burnie, MD 21061
Phone (410) 787-2229

7927 Ritchie Hwy
Ste B
Glen Burnie, MD 21061
Phone (410) 760-1230

Practitioners & affiliated clinicians

Practitioners 10

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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1336448547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 RITCHIE HWY",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614343",
            "telephone_number": "410-760-1230",
            "fax_number": "410-760-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 RITCHIE HWY",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614343",
            "telephone_number": "410-760-1230",
            "fax_number": "410-760-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "410-760-1230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.