Loida Borbon-Laxamana, PT
Individual provider Active NPI Physical Therapist · Baltimore, MD
NPI 1447732151 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1447732151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 22511 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- 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 LLC
Maryland Luna Care Physical Therapy LLC
Ati Holdings, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT MD LLC | Physical Therapist | Current |
Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current |
Accepting new patients |
| Fox Rehabilitation Services LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past |
Accepting new patients |
| Ati Holdings, LLC | Past |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862
817 Maiden Choice Ln
Catonsville, MD 21228
Phone (443) 297-1862
836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 514-0560
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22511 | MD | Yes |
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
NPI Registry JSON
{
"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": []
}
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All providers in Baltimore, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.