Active NPI
Harold Jacob Steadman IV
- Physical Therapy Assistant
- Brooklyn Park, MD
National Provider Identifier
1437829090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A10853
- Practice address
- 613 Hammonds LN
Brooklyn Park, MD 21225-3351 - Phone
- (410) 636-3400
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CP008171A | MD | |
| Physical Therapy Assistant | 225200000X | A10853 | LA | Primary |
Addresses
Primary practice location
613 Hammonds LN
Brooklyn Park, MD 21225-3351
Mailing address
2014 Governor Nicholls St
New Orleans, LA 70116-2136
Phone (954) 393-9956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10853 | LA | MD | Physical Therapy Assistant |
| CP008171A | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1437829090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 GOVERNOR NICHOLLS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701162136",
"telephone_number": "954-393-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HAMMONDS LN",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253351",
"telephone_number": "410-636-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEADMAN",
"first_name": "HAROLD",
"middle_name": "JACOB",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "CP008171A",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A10853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MD
- Alexis Marie Roberson, LCPC
- Nichole Marie Rosado, RN, CNM
- Second Chance Behavioral Health Center LLC
- Second Chance Behavioral Health Center LLC
- Second Chance Behavioral Health Center LLC
- Synergy Medical Group LLC
- Kimberly Taylor, ADT
- The Medicine Shoppe Pharmacy
- Theraride Transportation, LLC (TheraRide Transport)
- Toller Enterprises LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.