Crofton Physical Therapy & Sports Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CROFTON PHYSICAL THERAPY & SPORTS REHAB, INC.

Practice address

2200 Defense Hwy
200
Crofton, MD 21114-2926

Phone

(410) 721-9000

Fax

(410) 721-8185

NPI assigned

Jan 6, 2006

Last updated

Aug 22, 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

Mrs. Karen Denise Frye

Title

President

Phone

(410) 721-9000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Sarah Michel Seibold, PTA

  • Physical Therapy Assistant
  • Crofton, MD
  • NPI 1669111795
  NPD
• Traci Marie Carlson, P.T.

  • Physical Therapist
  • Annapolis, MD
  • NPI 1851401475
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669450920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "200",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-9000",
            "fax_number": "410-721-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "200",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-9000",
            "fax_number": "410-721-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFTON PHYSICAL THERAPY & SPORTS REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-721-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP NUMBER",
            "identifier": "5001459",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS GROUP NUM",
            "identifier": "KY69CR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP NUMBER",
            "identifier": "2598572",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS HMO/FEP",
            "identifier": "R926",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crofton Convalescent Center, Inc.
• Crofton Dental Center LLC
• Crofton Family Eye Care LLC
• Crofton Medical Group, LLC
• Crofton Opticians (EspEye)
• Crofton Podiatry
• Stephanie Crowley, MA, CCC-SLP
• Mark Gillies Cu
• Linda M Dalder, LCPC
• Sarah Damiani, LAC

• Physical Therapist in Crofton, MD
• Providers in Crofton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.