Active NPI
Maksim Birikov
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1376933911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25385
- Practice address
- 800 S Bond St
Baltimore, MD 21231-3708 - Phone
- (443) 831-0883
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25385 | MD | Primary |
Addresses
Primary practice location
800 S Bond St
Baltimore, MD 21231-3708
Mailing address
800 S Bond St Apt a
Baltimore, MD 21231-3709
Phone (443) 831-0883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 S Bond St
Baltimore, MD 21231-3708
Phone (443) 831-0883
800 S Bond St
Apt a
Baltimore, MD 21231-3709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physica Medica LLC | Physical Therapist | Current | Accepting new patients |
Locations
510 S Eden St
Baltimore, MD 21231
Phone (443) 831-0883
800 S Bond St
Baltimore, MD 21231
Phone (443) 831-0883
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1376933911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S BOND ST APT A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313709",
"telephone_number": "443-831-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S BOND ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313708",
"telephone_number": "443-831-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRIKOV",
"first_name": "MAKSIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.