Kalos Sports Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KALOS SPORTS PERFORMANCE LLC

Practice address

1 N Haven St Ste 3
Baltimore, MD 21224-1614

Phone

(609) 364-3003

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan WallenderNPI 1508424508

Title

Phsical Therapist/Owner

Phone

(609) 364-3003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jonathan Wallender, DPT

  • Physical Therapist
  • Bel Air, MD
  • NPI 1508424508
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1649895590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MCCLEARY TER APT 108",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144546",
            "telephone_number": "609-364-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N HAVEN ST STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241614",
            "telephone_number": "609-364-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALOS SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "WALLENDER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "609-364-3003"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahithi Reddy Kalluri, M.B.B.S.
• Debra Daugherty Kalm, PTA
• Martin Kalmanson, RPH
• Akos Kalmar, M.D.
• Haja Kalokoh
• Kavita B Kalra, M.D.
• Maitri Kalra, MBBS
• Maria Kaltchenko
• Henry Kalter
• Christine Kalu

• Physical Therapy Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.