On Track Rehabilitation, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20878 Issued in MD

Legal business name

ON TRACK REHABILITATION, LLC

Practice address

8839 Kelso Dr
Essex, MD 21221-3141

Phone

(443) 415-0004

NPI assigned

Jan 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Latreace Logan, P.T.NPI 1770834335

Title

Owner

Phone

(443) 415-0004

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Logan, P.T.

  • Physical Therapist
  • Lutherville, MD
  • NPI 1770834335
  NPD (past) Authorized official

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1588053227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 BRENBROOK DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334116",
            "telephone_number": "443-415-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8839 KELSO DR",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213141",
            "telephone_number": "443-415-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TRACK REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LATREACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-415-0004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "20878",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "20878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Rose Nieves-Speakman
• Brian N. Njoroge, PHARMD
• Godsgift Enebong Nya, PMHNP
• Chidiebere Sheila Okoronkwo, MS, OTR/L
• Adebisi Olayiwola
• Oncology Spa by CPC
• Folasade Osotimehin, PHARM.D.
• Emmanuella Owobu, LCPC
• Paramount Diagnostics LLC
• Pass Maryland Inc

• Health Service Clinic/Center in Essex, MD
• Providers in Essex, 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 Jan 19, 2015; 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.