Calvert Physical Therapy and Sports Fitness Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

15757 Issued in MD

Legal business name

CALVERT PHYSICAL THERAPY AND SPORTS FITNESS CENTER

Practice address

14090 Solomons Island Rd
Suite 1500
Solomons Island, MD 20688

Phone

(410) 394-2838

Fax

(410) 326-2369

NPI assigned

Oct 1, 2008

Last updated

Jul 23, 2009By 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. Deborah J Smootz

Title

Practice Manager

Phone

(410) 414-4846

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Calverthealth Medical Center, Inc.

  dba CalvertHealth Outpatient Rehabilitation Dunkirk

  • Physical Therapy Clinic/Center
  • Dunkirk, MD
  • NPI 1578910683

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Michael Kurt Kuegler, PT

  • Physical Therapist
  • Dunkirk, MD
  • NPI 1770650871
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1679724355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784022",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 SOLOMONS ISLAND RD",
            "address_2": "SUITE 1500",
            "city": "SOLOMONS ISLAND",
            "state": "MD",
            "postal_code": "20688",
            "telephone_number": "410-394-2838",
            "fax_number": "410-326-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT PHYSICAL THERAPY AND SPORTS FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "SMOOTZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-414-4846",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "15757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406409702",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Cadiz, COTA
• Tidewater Dental Solomons Island, LLC

• Durable Medical Equipment & Medical Supplies in Solomons Island, MD
• Providers in Solomons Island, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.