Active NPI
Southern Maryland Physical Therapy Inc.
- Physical Therapist
- Clinton, MD
National Provider Identifier
1497072847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SOUTHERN MARYLAND PHYSICAL THERAPY INC.
- Practice address
- 10401 Hospital Dr
Suite 102
Clinton, MD 20735-3110 - Phone
- (301) 856-0050
- Fax
- (301) 856-0518
- NPI assigned
- Apr 26, 2010
- 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
- Mr. Michael James Chiaramonte
- Title
- President
- Phone
- (301) 877-4530
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
10401 Hospital Dr
Suite 102
Clinton, MD 20735-3110
Mailing address
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 870-7001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196518200 PT | Medicaid | MD | |
| 219378700 OT | Medicaid | MD |
Other names 1
- Rehabilitation Center of Southern Maryland
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1497072847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-870-7001",
"fax_number": "301-870-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 HOSPITAL DR",
"address_2": "SUITE 102",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353110",
"telephone_number": "301-856-0050",
"fax_number": "301-856-0518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MARYLAND PHYSICAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "CHIARAMONTE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-877-4530",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196518200 PT",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219378700 OT",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehabilitation Center of Southern Maryland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, MD
- Southern Maryland Hospital, Inc.
- Southern Maryland Hospital,Inc
- Southern Maryland Intensive Care, Inc.
- Southern Maryland Nephrology and Hypertension
- Southern Maryland Pediatrics LLC
- Southern Maryland Professional Rad
- Southern Radiology MRI Partnership
- Natosha Peterson Speight, LCSW-C
- Spine Wellness Center LLC
- Spiritual Healing, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.