Stavros Anastasios Rologas, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17174 Issued in MD

Practice address

808 S Conkling St
Baltimore, MD 21224-4354

Phone

(410) 522-6978

Fax

(410) 522-0290

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canton Orthopaedic & Sports Rehabilitation Inc

  • Physical Therapist
  • Baltimore, MD
  • NPI 1114108545
  Medicare reassignment NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1366422610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 UMBRA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244612",
            "telephone_number": "443-838-1029",
            "fax_number": "410-522-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244354",
            "telephone_number": "410-522-6978",
            "fax_number": "410-522-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLOGAS",
        "first_name": "STAVROS",
        "middle_name": "ANASTASIOS",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "53443002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Maria Rollison, CRNA
• Cynthia M Rollo, LCSW-C
• Patrick Rollo, MD
• Sarah Rose Rollor, D.D.S.
• Michael Rolnick, M.D
• Nina Roma Agvanian
• Brandy Romadka
• Meranda Romain
• Kristen Horsman Roman
• Meghan Estock Roman, NP-C

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.