NPIMap

Organization Active NPI

2 WS LLC

Doing business as Annapolis Family Physical Therapy

  • Physical Therapy Clinic/Center
  • Severna Park, MD
National Provider Identifier
1477812451
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17007 Issued in MD
Legal business name
2 WS LLC
Doing business as
Annapolis Family Physical Therapy
Practice address
156 Ritchie Hwy
Ste 100
Severna Park, MD 21146-1129
Phone
(410) 279-0654
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
2 WS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie Ann Wallop, P.T.
Title
Chief Executive Manager
Phone
(410) 279-0654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 17007 MD Primary

Addresses

Primary practice location

156 Ritchie Hwy
Ste 100
Severna Park, MD 21146-1129

Mailing address

156 Ritchie Hwy
Ste 100
Severna Park, MD 21146-1129
Phone (410) 279-0654

Other names 1

  • ANNAPOLIS FAMILY PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130830000271 MD Part B Supplier - Clinic/Group Practice 4183877277 Receives reassigned benefits from 7 practitioners
Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory
Part of
2 WS LLC

Locations

156 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 279-0654

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1477812451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 RITCHIE HWY",
            "address_2": "STE 100",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461129",
            "telephone_number": "410-279-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 RITCHIE HWY",
            "address_2": "STE 100",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461129",
            "telephone_number": "410-279-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2 WS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "2 WS LLC",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "WALLOP",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "410-279-0654",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "17007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANNAPOLIS FAMILY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.

Verify at the official NPI Registry.