Active NPI
Immersed Inc
- Developmental Therapist
- Reisterstown, MD
National Provider Identifier
1639074503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Legal business name
- IMMERSED INC
- Practice address
- 102 Business Center Dr
Reisterstown, MD 21136-1229 - Phone
- (410) 259-0772
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latasha Williams
- Title
- Special Educator
- Phone
- (410) 861-0441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
102 Business Center Dr
Reisterstown, MD 21136-1229
Mailing address
102 Business Center Dr
Reisterstown, MD 21136-1229
Phone (410) 259-0772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1639074503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BUSINESS CENTER DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361229",
"telephone_number": "410-259-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BUSINESS CENTER DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361229",
"telephone_number": "410-259-0772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMERSED INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LATASHA",
"authorized_official_title_or_position": "SPECIAL EDUCATOR",
"authorized_official_telephone_number": "410-861-0441"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.