NPIMap

Organization Active NPI

Atlas Physical Therapy & Associates, LLC

  • Physical Therapy Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1366812331
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
22199 Issued in MD
Legal business name
ATLAS PHYSICAL THERAPY & ASSOCIATES, LLC
Practice address
1406 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4058
Phone
(410) 762-2124
Fax
(410) 705-5057
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Anna Gaylord
Title
Credentialing Manager
Phone
(678) 837-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 22199 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4058

Mailing address

PO Box 96224
Phoenix, AZ 85072-6224
Phone (410) 762-2124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160624001387 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022309863 Receives reassigned benefits from 7 practitioners
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1406 Crain Hwy S
Ste 110
Glen Burnie, MD 21061
Phone (410) 762-2123

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1366812331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96224",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726224",
            "telephone_number": "410-762-2124",
            "fax_number": "410-705-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S",
            "address_2": "SUITE 110",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614058",
            "telephone_number": "410-762-2124",
            "fax_number": "410-705-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PHYSICAL THERAPY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "678-837-7176"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "22199",
            "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 Jan 7, 2026; 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.