Organization Active NPI

The Center for Integrated Manual Therapies LLC

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1679615793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE CENTER FOR INTEGRATED MANUAL THERAPIES LLC
Practice address
9159 Red Branch Rd # F
Columbia, MD 21045-2013
Phone
(410) 740-2155
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen A Johnson, CMPTNPI 1558403667
Title
Owner
Phone
(410) 740-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9159 Red Branch Rd # F
Columbia, MD 21045-2013

Mailing address

PO Box 874
Columbia, MD 21044-0874
Phone (410) 740-2155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000559 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204879927 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD; Columbia, MD

National Provider Directory

National Provider Directory

Locations

1834 George Ave
Annapolis, MD 21401
Phone (410) 740-2155

10716 Little Patuxent Pkwy
#210
Columbia, MD 21044
Phone (301) 490-0165

9130 Red Branch Rd
Ste F
Columbia, MD 21045
Phone (410) 740-2155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679615793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210440874",
            "telephone_number": "410-740-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 RED BRANCH RD # F",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452013",
            "telephone_number": "410-740-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INTEGRATED MANUAL THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-740-2155",
        "authorized_official_credential": "CMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • 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.
  • 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.