Tersis, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TERSIS, LLC

Doing business as

The Water's Edge

Practice address

155 Sallitt Dr
Stevensville, MD 21666-2156

Phone

(410) 643-3130

Fax

(410) 643-3083

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann Sanderson

Title

Owner

Phone

(410) 631-3130

Specialties & licenses 1

Addresses

Other names 1

• The Water's Edge Doing business as

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1689873762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SALLITT DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662156",
            "telephone_number": "410-643-3130",
            "fax_number": "410-643-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SALLITT DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662156",
            "telephone_number": "410-643-3130",
            "fax_number": "410-643-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-631-3130"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Water's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.