NPIMap

Organization Active NPI

Southern Maryland Physical Therapy, Inc

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
National Provider Identifier
1609877646
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOUTHERN MARYLAND PHYSICAL THERAPY, INC
Practice address
10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527
Phone
(301) 870-7366
Fax
(301) 870-6717
NPI assigned
Aug 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Kathy M Heier
Title
Practice Manager
Phone
(301) 870-7366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527

Mailing address

10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527
Phone (301) 870-7366

Other names 1

  • Rehabilitation Center of Southern Maryland Doing business as

National Provider Directory

National Provider Directory

Locations

7905 Malcolm Rd
Clinton, MD 20735
Phone (301) 856-0050

23000 Moakley St
Ste 102
Leonardtown, MD 20650
Phone (301) 475-5555

10 Saint Patricks Dr
Ste 401
Waldorf, MD 20603
Phone (301) 870-7366

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1609877646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "address_2": "SUITE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-870-7366",
            "fax_number": "301-870-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "address_2": "SUITE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-870-7366",
            "fax_number": "301-870-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "HEIER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-870-7366"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Center of Southern Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.