Striations Fitness Sports Medicine and Occupational Therapy, LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

06421 Issued in MD

Legal business name

STRIATIONS FITNESS SPORTS MEDICINE AND OCCUPATIONAL THERAPY, LLC

Practice address

29 Greenmeadow Dr
Timonium, MD 21093-3256

Phone

(410) 823-0870

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randall Shawn Watkins Sr., OTR/L, ATC, NSCA-CPT

Title

President/Occupational Therapist

Phone

(443) 850-1447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1376853838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 SAINT MONICA DR",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223536",
            "telephone_number": "443-850-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GREENMEADOW DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933256",
            "telephone_number": "410-823-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIATIONS FITNESS SPORTS MEDICINE AND OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "443-850-1447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OTR/L, ATC, NSCA-CPT"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "06421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Stewart, LSCW-C
• Jordan Richard Stewart, D.P.M
• Christopher Lewis Stires, DPT
• Emma Strachan
• Susan Farber Straus, PH.D.
• Brooks Stroman, LGPC
• Stuart J Gordon, MD, PA
• Mae Colleen Sullivan, MS
• Lindsey Suter
• Thomas Joseph Swauger, DDS

• Physical Rehabilitation Occupational Therapist in Timonium, MD
• Providers in Timonium, MD by specialty
• Physical Rehabilitation Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.