Individual provider Active NPI

Brian David Litofsky, PT

  • Physical Therapist
  • Pikesville, MD
National Provider Identifier
1659050581
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17067 Issued in MD
Practice address
1777 Reisterstown Rd Ste 130
Pikesville, MD 21208-1318
Phone
(410) 415-5905
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17067 MD Primary

Addresses

Primary practice location

1777 Reisterstown Rd Ste 130
Pikesville, MD 21208-1318

Mailing address

1777 Reisterstown Rd Ste 130
Pikesville, MD 21208-1318
Phone (410) 415-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130002738 MD Practitioner - Physical Therapist in Private Practice 3476906017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17067MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kassimir Physical Therapy, P.a. Physical Therapist CurrentSince Dec 30, 2023 Accepting new patients

Locations

1777 Reisterstown Rd
Ste 130
Pikesville, MD 21208
Phone (410) 415-5905

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1659050581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD STE 130",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081318",
            "telephone_number": "410-415-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD STE 130",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081318",
            "telephone_number": "410-415-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITOFSKY",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.