Active NPI
Herschel Budlow, PT
- Physical Therapist
- Lutherville, MD
National Provider Identifier
1659488062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10470
- Practice address
- 12111 Tullamore CT Unit 103
Lutherville, MD 21093-8154 - Phone
- (410) 925-6873
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10470 | MD | Primary |
Addresses
Primary practice location
12111 Tullamore CT Unit 103
Lutherville, MD 21093-8154
Mailing address
12111 Tullamore CT Unit 103
Lutherville, MD 21093-8154
Phone (410) 925-6873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10476 | MD | MD | General Practice Dentistry |
| 10470 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shari Kaplan PT | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Pikesville, MD
- NPI 1417679853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1659488062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12111 TULLAMORE CT UNIT 103",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210938154",
"telephone_number": "410-925-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12111 TULLAMORE CT UNIT 103",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210938154",
"telephone_number": "410-925-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDLOW",
"first_name": "HERSCHEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "10470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.