NPIMap

Organization Active NPI

University of Maryland

  • Rehabilitation Clinic/Center
  • College Park, MD
National Provider Identifier
1477877215
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
UNIVERSITY OF MARYLAND
Practice address
379 Field House Dr
Gossett Football Team House
College Park, MD 20742-0001
Phone
(301) 314-2663
Fax
(301) 314-6549
NPI assigned
Mar 23, 2010
Last updated
Dec 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Darryl Conway, ATC, EMT-B
Title
Asst. Athletic Director
Phone
(301) 314-2663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary
Student Health Clinic/Center 261QS1000X NU

Addresses

Primary practice location

379 Field House Dr
Gossett Football Team House
College Park, MD 20742-0001

Mailing address

379 Field House Dr
Gossett Football Team House
College Park, MD 20742-0001
Phone (301) 314-2663

Other names 1

  • UNIVERSITY OF MARYLAND SPORTS MEDICINE Other name

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Athletics-College Park83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1477877215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 FIELD HOUSE DR",
            "address_2": "GOSSETT FOOTBALL TEAM HOUSE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207420001",
            "telephone_number": "301-314-2663",
            "fax_number": "301-314-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 FIELD HOUSE DR",
            "address_2": "GOSSETT FOOTBALL TEAM HOUSE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207420001",
            "telephone_number": "301-314-2663",
            "fax_number": "301-314-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "ASST. ATHLETIC DIRECTOR",
        "authorized_official_telephone_number": "301-314-2663",
        "authorized_official_credential": "ATC, EMT-B"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF MARYLAND SPORTS MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.