NPIMap

Organization Active NPI

Innerlinks Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Germantown, MD
National Provider Identifier
1366996761
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
16448 Issued in MD
Legal business name
INNERLINKS PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
3 Executive Park CT
Germantown, MD 20874-2643
Phone
(301) 706-0688
Fax
(301) 515-6039
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Keith R Donovan, PT
Title
Owner
Phone
(301) 706-0688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 16448 MD Primary

Addresses

Primary practice location

3 Executive Park CT
Germantown, MD 20874-2643

Mailing address

3 Executive Park CT
Germantown, MD 20874-2643
Phone (301) 706-0688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1366996761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-706-0688",
            "fax_number": "301-515-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-706-0688",
            "fax_number": "301-515-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLINKS PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-706-0688",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "16448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

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