Organization Active NPI

Slade Medical Center

  • Human Factors Physical Therapist
  • Baltimore, MD
National Provider Identifier
1689790800
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Physical TherapistTaxonomy code 2251H1300X
Legal business name
SLADE MEDICAL CENTER
Practice address
304 Reisterstown Rd
Baltimore, MD 21208-5312
Phone
(419) 602-0407
Fax
(410) 602-0409
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Elina Morin
Title
Vice President
Phone
(410) 602-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251H1300X Primary

Addresses

Primary practice location

304 Reisterstown Rd
Baltimore, MD 21208-5312

Mailing address

304 Reisterstown Rd
Baltimore, MD 21208-5312
Phone (419) 602-0407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1689790800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085312",
            "telephone_number": "419-602-0407",
            "fax_number": "410-602-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085312",
            "telephone_number": "419-602-0407",
            "fax_number": "410-602-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-602-0407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Human Factors",
            "state": null,
            "license": null,
            "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 Jul 24, 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.

Verify at the official NPI Registry.