Individual provider Active NPI

Tamara C. Grunitzky, D.P.T.

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1437389145
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22932 Issued in MD
Practice address
1777 Reisterstown Road
Suite 130 East
Baltimore, MD 21208
Phone
(410) 415-5905
Fax
(410) 415-5906
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22932 MD Primary

Addresses

Primary practice location

1777 Reisterstown Road
Suite 130 East
Baltimore, MD 21208

Mailing address

1777 Reisterstown Road
Suite 130 East
Baltimore, MD 21208
Phone (410) 415-5905

Other names 1

  • Ms. Tamara C. Ford Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000559 MD Practitioner - Physical Therapist in Private Practice 5991859977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Physical Therapy LLCGroup PAC ID 7012274525, 10 clinicians

Practice addresses (Care Compare)

6300 Georgetown Blvd
Suite 101
Eldersburg, MD 21784-6422
Phone (443) 531-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22932MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primephysicaltherapyllc Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients

Locations

6300 Georgetown Blvd
Ste 101
Sykesville, MD 21784
Phone (443) 531-5888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1437389145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN ROAD",
            "address_2": "SUITE 130 EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "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 ROAD",
            "address_2": "SUITE 130 EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-415-5905",
            "fax_number": "410-415-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNITZKY",
        "first_name": "TAMARA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "FORD",
            "middle_name": "C.",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.