Total Sports Rehab and Physical Therapy of Maryland LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

22267 Issued in MD

Legal business name

TOTAL SPORTS REHAB AND PHYSICAL THERAPY OF MARYLAND LLC.

Practice address

5834 East Ave
Baltimore, MD 21206-1413

Phone

(443) 798-0414

Fax

(410) 668-6612

NPI assigned

Mar 15, 2015

Last updated

Mar 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Green, DPT

Title

Owner/ Physical Therapist

Phone

(443) 798-0414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426377600000",
    "number": "1609269612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 EAST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061413",
            "telephone_number": "443-798-0414",
            "fax_number": "410-668-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 EAST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061413",
            "telephone_number": "443-798-0414",
            "fax_number": "410-668-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPORTS REHAB AND PHYSICAL THERAPY OF MARYLAND LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-798-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "22267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.