Active NPI
Proflex Physical Thearpy of Maryland, LLC
- Physical Medicine & Rehabilitation Physician
- Frederick, MD
National Provider Identifier
1396640785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PROFLEX PHYSICAL THEARPY OF MARYLAND, LLC
- Practice address
- 2440 Osprey Way Ste C
Frederick, MD 21701-1958 - Phone
- (540) 369-4461
- Fax
- (240) 454-0158
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ja'Nise A Williams
- Title
- Credentialing Specialist
- Phone
- (301) 932-4788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
2440 Osprey Way Ste C
Frederick, MD 21701-1958
Mailing address
PO Box 791217
Baltimore, MD 21279-1217
Phone (301) 932-4786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1396640785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791217",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791217",
"telephone_number": "301-932-4786",
"fax_number": "301-932-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 OSPREY WAY STE C",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217011958",
"telephone_number": "540-369-4461",
"fax_number": "240-454-0158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFLEX PHYSICAL THEARPY OF MARYLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JA'NISE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "301-932-4788"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Privia Medical Group, LLC
- Privia Medical Group, LLC
- Privia Medical Group, LLC
- Privia Medical Group, LLC
- Professional Skilled Home Health Care Providers LLC
- Progress and Learning Autism Network
- Progressive Neurology LLC
- Progressive Oncology and Hematology Center LLC
- Project Chesapeake, LLC
- Project Chesapeake, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.