NPIMap

Organization Active NPI

LHMG Physical Therapy, LLC

Doing business as AAMG Physcial Therapy, LLC

  • Physical Therapist
  • Chester, MD
National Provider Identifier
1386286987
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LHMG PHYSICAL THERAPY, LLC
Doing business as
AAMG Physcial Therapy, LLC
Practice address
1630 Main St Ste 109
Chester, MD 21619-2792
Phone
(443) 481-1140
NPI assigned
Oct 15, 2019
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Peter Odenwald
Title
Senior Manager
Phone
(443) 481-6415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1630 Main St Ste 109
Chester, MD 21619-2792

Mailing address

2001 Medical Pkwy Ofc
Annapolis, MD 21401-3773
Phone (443) 481-5618

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

Other names 1

  • AAMG Physcial Therapy, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hcecredentialing@aahs.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201000903 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870893738 Receives reassigned benefits from 295 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, MD; Severna Park, MD; Odenton, MD; Edgewater, MD; Easton, MD; Chester, MD; Annapolis, MD; Gambrills, MD

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
LHMG Physical Therapy LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1386286987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY OFC",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST STE 109",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192792",
            "telephone_number": "443-481-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHMG PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ODENWALD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "443-481-6415"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcecredentialing@aahs.org",
            "affiliation": "N",
            "address_1": "1630 Main St Ste 109",
            "city": "Chester",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216192792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AAMG Physcial Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AAMG Physcial Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.