NPIMap

Organization Active NPI

United Cerebral Palsy of Central MD Inc

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1609038306
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED CEREBRAL PALSY OF CENTRAL MD INC
Practice address
18 Delrey Ave
Catonsville, MD 21228
Phone
(410) 744-3151
Fax
(410) 744-8467
NPI assigned
Jun 25, 2008
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED CEREBRAL PALSY OF CENTRAL MARYLAND INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Teresa Ann Marie Clark, OTRL
Title
Senior Occupational Therapist
Phone
(410) 744-3151

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

18 Delrey Ave
Catonsville, MD 21228

Mailing address

18 Delrey Ave
Catonsville, MD 21228
Phone (410) 744-3151

Other names 1

  • UCP Delrey Community Therapy Services Other name

National Provider Directory

National Provider Directory
Part of
United Cerebral Palsy of CM Inc

Locations

3610 Commerce Dr
Baltimore, MD 21227
Phone (410) 314-5000

11350 McCormick Rd
Ste 1100
Hunt Valley, MD 21031

Practitioners & affiliated clinicians

Practitioners 6

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1609038306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DELREY AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-744-3151",
            "fax_number": "410-744-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DELREY AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-744-3151",
            "fax_number": "410-744-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF CENTRAL MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CEREBRAL PALSY OF CENTRAL MARYLAND INC",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN MARIE",
        "authorized_official_title_or_position": "SENIOR OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "410-744-3151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP Delrey Community Therapy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.