Maryland Physical Therapy Group, Inc. Ta Mid-Towne Medical Group, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

D0006489 Issued in MD

Legal business name

MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC.

Practice address

11 E Mount Royal Ave
The Towne BLDG Lower Level
Baltimore, MD 21202-2714

Phone

(410) 347-3000

Fax

(410) 539-3676

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Prof. M. Susan Matthewson

Title

Coordinator

Phone

(410) 347-3000

Specialties & licenses 1

Addresses

Other names 1

• Mid-Towne Medical Group, Inc. Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1497967327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAST MOUNT ROYAL AVE",
            "address_2": "THE TOWNE BLDG LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022714",
            "telephone_number": "410-347-3000",
            "fax_number": "410-539-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MOUNT ROYAL AVE",
            "address_2": "THE TOWNE BLDG LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022714",
            "telephone_number": "410-347-3000",
            "fax_number": "410-539-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MATTHEWSON",
        "authorized_official_first_name": "M. SUSAN",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "410-347-3000",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "D0006489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Towne Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Neuroophthalmology, LLC
• Maryland Nuclear Medicine Associates
• Maryland Pharmacists Association
• Maryland Pharmacy and Home Infusion Inc.
• Maryland Pharmacy and Home Infusion Inc.
• Maryland Physicians Associates
• Maryland Podiatry PA
• Maryland Podiatry PA
• Maryland Podiatry Services, Inc.
• Maryland Primary Care Clinic LLC

• Health Service Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.