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

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

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 (15 clinicians)
Maryland Luna Care Physical Therapy LLC (123 clinicians)
Ati Holdings, LLC (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DC, MD

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2024.

{
    "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

All providers in Baltimore, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.