Physiotherapy Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

21190 Issued in MD

Legal business name

PHYSIOTHERAPY CORPORATION

Practice address

4924 Campbell Blvd
Suite 130a
Nottingham, MD 21236-5908

Phone

(610) 884-4814

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Pam Rice

Title

HR

Phone

(610) 644-7824

Specialties & licenses 1

Addresses

Other identifiers 7

Tax ID family

Physiotherapy ASC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Physiotherapy ASC

  • Occupational Medicine Clinic/Center
  • Richardson, TX
  • NPI 1154662468
  NPD tax ID
• Physiotherapy Associates

  • Federal Public Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1326491846
  NPD tax ID
• Physiotherapy Corporation

  • Rehabilitation Clinic/Center
  • Virginia Beach, VA
  • NPI 1679946834
  NPD tax ID

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1437559580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD",
            "address_2": "SUITE 130A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365908",
            "telephone_number": "610-884-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD",
            "address_2": "SUITE 130A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365908",
            "telephone_number": "610-884-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "21190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEALTH",
            "identifier": "3503195000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "216512",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11779850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3503195000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "50700047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUST",
            "identifier": "1245244938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCA",
            "identifier": "88760514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phaze Counseling Services Inc
• Phaze Counseling Services Inc
• Alicia Phillips
• Paul Ernest Phillips III, D.D.S.
• Physical Therapy and Wellness
• Anthony F Pinto III, MD
• Shannon Marie Place, FNP-C
• Podiatry Associates PA
• Christie Pona, DPT, ATC
• Sylvia Poole

• Physical Therapy Clinic/Center in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.