NPIMap

Organization Active NPI

Bayside Physical Therapy & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Centreville, MD
National Provider Identifier
1699206508
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BAYSIDE PHYSICAL THERAPY & SPORTS REHABILITATION LIMITED PARTNERSHIP
Practice address
202 Coursevall Dr
Suite 111 & 112
Centreville, MD 21617-2804
Phone
(410) 758-0018
Fax
(410) 758-4031
NPI assigned
Mar 22, 2017
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

202 Coursevall Dr
Suite 111 & 112
Centreville, MD 21617-2804

Mailing address

202 Coursevall Dr
Suite 111 & 112
Centreville, MD 21617-2804
Phone (410) 758-0018

National Provider Directory

National Provider Directory
Tax ID family
Bayside Physical Therapy Sports Rehabilitation Limited Partnership7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1699206508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COURSEVALL DR",
            "address_2": "SUITE 111 & 112",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172804",
            "telephone_number": "410-758-0018",
            "fax_number": "410-758-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COURSEVALL DR",
            "address_2": "SUITE 111 & 112",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172804",
            "telephone_number": "410-758-0018",
            "fax_number": "410-758-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PHYSICAL THERAPY & SPORTS REHABILITATION LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.