Organization Active NPI

Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1356884449
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC
Practice address
1406 S Salisbury Blvd Ste B
Salisbury, MD 21801-7162
Phone
(443) 736-4091
Fax
(443) 736-4358
NPI assigned
Nov 22, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Robin Cummings
Title
Corporate Manager
Phone
(410) 208-3630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1406 S Salisbury Blvd Ste B
Salisbury, MD 21801-7162

Mailing address

11070 Cathell Rd Ste 4
Berlin, MD 21811-9344
Phone (410) 208-3630

Other identifiers 1

IdentifierTypeStateIssuer
713MOtherMDMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc2 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

1406 S Salisbury Blvd
Ste B
Salisbury, MD 21801
Phone (443) 736-4091

Practitioners & affiliated clinicians

Practitioners 2

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1356884449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 CATHELL RD STE 4",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218119344",
            "telephone_number": "410-208-3630",
            "fax_number": "410-208-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S SALISBURY BLVD STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017162",
            "telephone_number": "443-736-4091",
            "fax_number": "443-736-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "410-208-3630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "713M",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.