Organization Active NPI

Encompass Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Annapolis, MD
National Provider Identifier
1689863037
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ENCOMPASS PHYSICAL THERAPY, LLC
Practice address
130 Admiral Cochrane Dr Ste 101
Annapolis, MD 21401-7368
Phone
(410) 266-1500
Fax
(410) 266-1369
NPI assigned
Oct 22, 2007
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Mrs. Chanhee Ro, PT, MPTNPI 1891912085
Title
Owner/Member
Phone
(410) 266-1500

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
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

130 Admiral Cochrane Dr Ste 101
Annapolis, MD 21401-7368

Mailing address

130 Admiral Cochrane Dr Ste 101
Annapolis, MD 21401-7368
Phone (410) 266-1500

Other identifiers 1

IdentifierTypeStateIssuer
407999000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629000163 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749266823 Receives reassigned benefits from 4 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

130 Admiral Cochrane Dr
Ste 101
Annapolis, MD 21401
Phone (410) 266-1500

888 Bestgate Rd
Ste 316
Annapolis, MD 21401
Phone (410) 255-1600

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1689863037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ADMIRAL COCHRANE DR STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017368",
            "telephone_number": "410-266-1500",
            "fax_number": "410-266-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ADMIRAL COCHRANE DR STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017368",
            "telephone_number": "410-266-1500",
            "fax_number": "410-266-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "CHANHEE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "410-266-1500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407999000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.