Free State Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20375 Issued in MD

Legal business name

FREE STATE PHYSICAL THERAPY, LLC

Practice address

314 German Hill Rd
Dundalk, MD 21222-1527

Phone

(410) 288-1170

Fax

(410) 288-1172

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shirlie B Perrone, P.T.NPI 1104923903

Title

Owner/Physical Therapist

Phone

(410) 288-1170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirlie B Perrone, PT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1104923903
  NPD (past) Authorized official

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1376986851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GERMAN HILL RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221527",
            "telephone_number": "410-288-1170",
            "fax_number": "410-288-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GERMAN HILL RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221527",
            "telephone_number": "410-288-1170",
            "fax_number": "410-288-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE STATE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "PERRONE",
        "authorized_official_first_name": "SHIRLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-288-1170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Specialists of Greater Baltimore Inc
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Mary Patrice Forbes, PT
• Arnold R Forman, DPM
• Sigourney Frazier, LMSW
• Fresenius Medical Care Essex Dundalk, LLC (Fresenius Medical Care Dundalk)
• Lisa Gabriella Lopez Friedman
• Annalise Marie Gaston, DPT
• Fred Lee Gelin, D.P.M.
• Genesis Health Care

• Physical Therapy Clinic/Center in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.