NPIMap

Organization Active NPI

Liberty Rehabilitation Services

  • Assisted Living Facility
  • Windsor Mill, MD
National Provider Identifier
1649433756
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
05877 Issued in MD
Legal business name
LIBERTY REHABILITATION SERVICES
Practice address
3333 Northmont Rd
Windsor Mill, MD 21244-2953
Phone
(443) 621-4884
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Tyrone James Banks, MSOTR/L
Title
Occupational Therapist
Phone
(443) 621-4884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 05877 MD Primary
Physical Disabilities Residential Treatment Facility 320700000X 05877 MD

Addresses

Primary practice location

3333 Northmont Rd
Windsor Mill, MD 21244-2953

Mailing address

3333 Northmont Rd
Windsor Mill, MD 21244-2953
Phone (443) 621-4884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1649433756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NORTHMONT RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442953",
            "telephone_number": "443-621-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NORTHMONT RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442953",
            "telephone_number": "443-621-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "443-621-4884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "05877",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MD",
            "license": "05877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.