Organization Active NPI

Flourish Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1376432476
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FLOURISH PHYSICAL THERAPY AND WELLNESS LLC
Practice address
8726 Town and Country Blvd Ste 107
Ellicott City, MD 21043-3061
Phone
(410) 733-9914
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Naomi Marie Dillon, PT, DPTNPI 1619524873
Title
Owner, Physical Therapist
Phone
(410) 733-9914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8726 Town and Country Blvd Ste 107
Ellicott City, MD 21043-3061

Mailing address

8726 Town and Country Blvd Ste 107
Ellicott City, MD 21043-3061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114000893 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284125568 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

8726 Town and Country Blvd
Ste 107
Ellicott City, MD 21043
Phone (410) 733-9914

Practitioners & affiliated clinicians

Practitioners 1

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": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376432476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 TOWN AND COUNTRY BLVD STE 107",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 TOWN AND COUNTRY BLVD STE 107",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433061",
            "telephone_number": "410-733-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-733-9914",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.