360 Rehab & Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

360 REHAB & WELLNESS LLC

Doing business as

360 Physical Therapy & Wellness

Practice address

11840 W Market PL Ste G
Fulton, MD 20759-2619

Phone

(443) 857-7280

NPI assigned

Aug 16, 2016

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajat Kumar, DPT OCS SCS FAAOMPTNPI 1366870735

Title

Owner, Ceo

Phone

(443) 857-7280

Specialties & licenses 3

Addresses

Other names 1

• 360 Physical Therapy & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• Rajat Kumar, DPT, OCS

  • Orthopedic Physical Therapist
  • Eldersburg, MD
  • NPI 1366870735
  Medicare reassignment NPD Authorized official
• Jill Stern May, PT

  • Physical Therapist
  • Fulton, MD
  • NPI 1528228418
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1487109740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 WINTERBERRY CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211364400",
            "telephone_number": "443-857-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 W MARKET PL STE G",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592619",
            "telephone_number": "443-857-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 REHAB & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "443-857-7280",
        "authorized_official_credential": "DPT OCS SCS FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Fulton, MD
• Providers in Fulton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.