Organization Active NPI

Esterson Physical Therapy PA

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1629030416
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14937 Issued in MD
Legal business name
ESTERSON PHYSICAL THERAPY PA
Practice address
2 W Rolling Crossroads
Suite 102
Baltimore, MD 21228-6208
Phone
(410) 747-1600
Fax
(410) 747-5202
NPI assigned
Apr 5, 2006
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Samuel Esterson Esterson, P.T.
Title
Physical Therapist, Owner
Phone
(410) 747-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14937 MD Primary

Addresses

Primary practice location

2 W Rolling Crossroads
Suite 102
Baltimore, MD 21228-6208

Mailing address

2 W Rolling Crossroads
Suite 102
Baltimore, MD 21228-6208
Phone (410) 747-1600

Other identifiers 1

IdentifierTypeStateIssuer
650023403OtherMDRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2 W Rolling Xrds
Ste 100
Baltimore, MD 21228
Phone (410) 747-1600

2 W Rolling Xrds
Ste 102
Catonsville, MD 21228
Phone (410) 747-1600

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": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1629030416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W ROLLING CROSSROADS",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "410-747-1600",
            "fax_number": "410-747-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING CROSSROADS",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "410-747-1600",
            "fax_number": "410-747-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTERSON PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "ESTERSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ESTERSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "410-747-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650023403",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.