NPIMap

Organization Active NPI

Complete Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Riverdale, MD
National Provider Identifier
1508036526
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
14782 Issued in MD
Legal business name
COMPLETE PHYSICAL THERAPY, LLC
Practice address
6309 Baltimore Ave
Suite 301
Riverdale, MD 20737-1059
Phone
(301) 699-1580
Fax
(301) 699-1583
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Ms. Deborah Marie Holmes, P.T.NPI 1164575718
Title
Director
Phone
(301) 699-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 14782 MD Primary

Addresses

Primary practice location

6309 Baltimore Ave
Suite 301
Riverdale, MD 20737-1059

Mailing address

6309 Baltimore Ave
Suite 301
Riverdale, MD 20737-1059
Phone (301) 699-1580

National Provider Directory

National Provider Directory

Locations

6309 Baltimore Ave
Ste 301
Riverdale, MD 20737
Phone (301) 699-1580

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1508036526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 BALTIMORE AVE",
            "address_2": "SUITE 301",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371059",
            "telephone_number": "301-699-1580",
            "fax_number": "301-699-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 BALTIMORE AVE",
            "address_2": "SUITE 301",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371059",
            "telephone_number": "301-699-1580",
            "fax_number": "301-699-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-699-1580",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "14782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.