Aquafit Physical Therapy, LLC
Organization Active NPI Physical Therapist · Odenton, MD
NPI 1386979995 · NPPES record last updated Oct 15, 2009
Key facts
- NPI
- 1386979995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19302 (MD)
- Legal business name
- AQUAFIT PHYSICAL THERAPY, LLC
- Practice address
- 8743 Piney Orchard Pkwy
Suite 105
Odenton, MD 21113-2343 - Phone
- (410) 598-0603
- NPI assigned
- Oct 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Ralph Truitt, P.T.
- Title
- Owner
- Phone
- (410) 598-0603
Practitioners 3
-
Ralph S Truitt, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091222000576 | MD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3577603505 |
Receives reassigned benefits from 3 practitioners Practice locations: Odenton, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 19302 | MD | Yes |
Addresses
Primary practice location
8743 Piney Orchard Pkwy
Suite 105
Odenton, MD 21113-2343
Mailing address
2208 Crest Rd
Baltimore, MD 21209-4207
Phone (410) 598-0603
Other providers in Odenton, MD
- Anne Arundel Gastroenterology Associates PA
- Anne Arundel Urology, PA
- Olisaeloka Anyakwo
- Apex Standard Services LLC
- Apex Standard Services LLC
- Araya Wellness LLC
- Aria Health Collective LLC
- Susan Arnold
- Rahel Artin
- Frankline Asaah
All providers in Odenton, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.