NPIMap

Organization Active NPI

PT Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Frederick, MD
National Provider Identifier
1558508457
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PT MEDICAL, LLC
Practice address
1805 Derrs CT
Frederick, MD 21701-2519
Phone
(301) 668-7041
Fax
(301) 698-5644
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mr. Stephen Christopher Bird
Title
Managing Director
Phone
(630) 922-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1805 Derrs CT
Frederick, MD 21701-2519

Mailing address

1805 Derrs CT
Frederick, MD 21701-2519
Phone (301) 668-7041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1558508457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 DERRS CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012519",
            "telephone_number": "301-668-7041",
            "fax_number": "301-698-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 DERRS CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012519",
            "telephone_number": "301-668-7041",
            "fax_number": "301-698-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "630-922-1092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.