Individual provider Active NPI

Loida Borbon-Laxamana, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1447732151
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22511 Issued in MD
Practice address
817 Maiden Choice LN Ste 106
Baltimore, MD 21228-3971
Phone
(443) 297-1862
Fax
(410) 701-0902
NPI assigned
Aug 30, 2018
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 22511 MD Primary

Addresses

Primary practice location

817 Maiden Choice LN Ste 106
Baltimore, MD 21228-3971

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3000 N Ridge Rd
Ellicott City, MD 21043-3311
Phone (410) 667-7577 ext. 351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240814003378 DC Practitioner - Physical Therapist in Private Practice 5193263739 Reassigns benefits to 2 organizations
I20240821002928 MD Practitioner - Physical Therapist in Private Practice 5193263739 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Physical Therapy at Home LLCGroup PAC ID 7012379134, 15 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

Columbia, MD 21044
Phone (301) 540-6140

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

817 Maiden Choice LN
Baltimore, MD 21228-3680
Phone (443) 297-1862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 2, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ati Holdings, LLC PastSince Aug 18, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Aug 18, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

817 Maiden Choice Ln
Catonsville, MD 21228
Phone (443) 297-1862

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 314-0560

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

6030 Daybreak Cir
Ste 115
Clarksville, MD 21029
Phone (667) 786-7977

10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073

6476 Dobbin Center Way
Ste 450
Columbia, MD 21045
Phone (410) 910-3242

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2645 Annapolis Rd
Ste B
Hanover, MD 21076
Phone (443) 351-2063

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

Organizations & group practices 12

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1447732151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIDEN CHOICE LN STE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283971",
            "telephone_number": "443-297-1862",
            "fax_number": "410-701-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210433311",
            "country_code": "US",
            "telephone_number": "410-667-7577 x351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORBON-LAXAMANA",
        "first_name": "LOIDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 15, 2024; 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.