Organization Active NPI

CPT, LLC

Doing business as Potomac Behavioral and Occupational Therapy

  • General Practice Physician
  • Cumberland, MD
National Provider Identifier
1609315126
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CPT, LLC
Doing business as
Potomac Behavioral and Occupational Therapy
Practice address
249 Henderson Ave
Cumberland, MD 21502-1638
Phone
(240) 362-7444
Fax
(240) 362-7388
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Tiffany Kennell
Title
Credentialing Manager
Phone
(301) 722-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

249 Henderson Ave
Cumberland, MD 21502-1638

Mailing address

249 Henderson Ave
Cumberland, MD 21502-1638
Phone (240) 362-7444

Other names 1

  • POTOMAC BEHAVIORAL AND OCCUPATIONAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CPT LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

249 Henderson Ave
Cumberland, MD 21502
Phone (240) 362-7444

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1609315126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HENDERSON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021638",
            "telephone_number": "240-362-7444",
            "fax_number": "240-362-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HENDERSON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021638",
            "telephone_number": "240-362-7444",
            "fax_number": "240-362-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "KENNELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "301-722-0616"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POTOMAC BEHAVIORAL AND OCCUPATIONAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.