Active NPI
Pocket PT, LLC
- Physical Therapy Clinic/Center
- Prince Frederick, MD
National Provider Identifier
1457944746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- POCKET PT, LLC
- Practice address
- 2105 Saint Margaret Blvd
Prince Frederick, MD 20678-4310 - Phone
- (240) 812-9197
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Torres, DPT, CERT MDT
- Title
- Owner
- Phone
- (240) 812-9197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2105 Saint Margaret Blvd
Prince Frederick, MD 20678-4310
Mailing address
2105 Saint Margaret Blvd
Prince Frederick, MD 20678-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Silver Spring, MD
- NPI 1144652918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1457944746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 SAINT MARGARET BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 SAINT MARGARET BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784310",
"telephone_number": "240-812-9197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCKET PT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-812-9197",
"authorized_official_credential": "DPT, CERT MDT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.