NPIMap

Organization Active NPI

Kassimir Physical Therapy, P.a.

  • Customized Equipment (DME)
  • Pikesville, MD
National Provider Identifier
1396725032
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
16224 Issued in MD
Legal business name
KASSIMIR PHYSICAL THERAPY, P.A.
Practice address
1777 Reisterstown Rd
Suite 130
Pikesville, MD 21208-1306
Phone
(410) 415-5905
Fax
(410) 415-5906
NPI assigned
Jan 19, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Gary D. Kassimir, P.T., C.H.T.NPI 1245210970
Title
Owner
Phone
(410) 415-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 16224 MD Primary

Addresses

Primary practice location

1777 Reisterstown Rd
Suite 130
Pikesville, MD 21208-1306

Mailing address

1777 Reisterstown Rd
Suite 130
Pikesville, MD 21208-1306
Phone (410) 415-5905

Other identifiers 1

IdentifierTypeStateIssuer
590500100MedicaidMD

National Provider Directory

National Provider Directory

Locations

1777 Reisterstown Rd
Ste 130
Pikesville, MD 21208
Phone (410) 415-5905

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1396725032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 130",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-415-5905",
            "fax_number": "410-415-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 130",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-415-5905",
            "fax_number": "410-415-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSIMIR PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "KASSIMIR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-415-5905",
        "authorized_official_credential": "P.T., C.H.T."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "16224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.