Prescott Enterprises, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

22937 Issued in MD

Legal business name

PRESCOTT ENTERPRISES, LLC

Practice address

5001 Apache St
College Park, MD 20740

Phone

(609) 462-3759

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Marie Prescott, P.T.

Title

Owner/Physical Therpist

Phone

(609) 462-3759

Specialties & licenses 1

Addresses

Other names 1

• ACRO Physical Therapy & Fitness Doing business as

Locations

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1366964280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 APACHE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 APACHE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "609-462-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERPIST",
        "authorized_official_telephone_number": "609-462-3759",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "22937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACRO Physical Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACRO Physical Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Physical Therapist in College Park, MD
• Providers in College Park, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.