NPIMap

Organization Active NPI

Agape Physical Therapy & Sports Rehabilitation LP

Doing business as Impact Sports Physical Therapy

  • Physical Therapist
  • Riverdale, MD
National Provider Identifier
1619790797
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AGAPE PHYSICAL THERAPY & SPORTS REHABILITATION LP
Doing business as
Impact Sports Physical Therapy
Practice address
5600 Rivertech CT Ste a-B
Riverdale, MD 20737-1354
Phone
(240) 245-5144
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Richard Binstein
Title
Evp
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5600 Rivertech CT Ste a-B
Riverdale, MD 20737-1354

Mailing address

12 Newport Dr
Forest Hill, MD 21050-1758
Phone (410) 838-9600

Other names 1

  • Impact Sports Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Physical Therapy Sports Rehabilitation LP16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

12 Newport Dr
Forest Hill, MD 21050
Phone (410) 838-2200

Practitioners & affiliated clinicians

Practitioners 10

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1619790797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWPORT DR",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501758",
            "telephone_number": "410-838-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 RIVERTECH CT STE A-B",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371354",
            "telephone_number": "240-245-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PHYSICAL THERAPY & SPORTS REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.