Active NPI
Michael Chan Ventura, P.T.
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1669630547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18724
- Practice address
- 5009 Frankford Ave
Baltimore, MD 21206-5353 - Phone
- (410) 325-4000
- NPI assigned
- May 28, 2008
- 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 | 18724 | MD | Primary |
Addresses
Primary practice location
5009 Frankford Ave
Baltimore, MD 21206-5353
Mailing address
13408 Manor Rd
Baldwin, MD 21013-9777
Phone (410) 592-2898
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18724 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1669630547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13408 MANOR RD",
"city": "BALDWIN",
"state": "MD",
"postal_code": "210139777",
"telephone_number": "410-592-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 FRANKFORD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212065353",
"telephone_number": "410-325-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "MICHAEL",
"middle_name": "CHAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.