Active NPI
Robert Patrick Connolly, DPT
- Physical Therapist
- Parkville, MD
National Provider Identifier
1609887728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21572
- Practice address
- 8005 Harford Rd
Suite 102
Parkville, MD 21234-5701 - Phone
- (410) 663-3133
- Fax
- (410) 663-3089
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21572 | MD | Primary |
Addresses
Primary practice location
8005 Harford Rd
Suite 102
Parkville, MD 21234-5701
Mailing address
8005 Harford Rd
Suite 102
Parkville, MD 21234-5701
Phone (410) 663-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21572 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Home Care Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Disabilities Residential Treatment Facility
- Baltimore, MD
- NPI 1396059697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1609887728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 HARFORD RD",
"address_2": "SUITE 102",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212345701",
"telephone_number": "410-663-3133",
"fax_number": "410-663-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 HARFORD RD",
"address_2": "SUITE 102",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212345701",
"telephone_number": "410-663-3133",
"fax_number": "410-663-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MD
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- Chong Concannon, LCPC
- Hadiya K Coppedge, M.S. CCC,SLP
- Porsch Corbett
- Cornerstone Pharmacy
- Creative Wellness Solutions, LLC
- Ronald Dean Crockett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.