NPIMap

Physiotherapy Associates - Union Rehab LLC

Organization Active NPI Physical Therapy Clinic/Center · Elkton, MD

NPI 1699861138 · NPPES record last updated Jun 24, 2010

Key facts

NPI
1699861138
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOCIATES - UNION REHAB LLC
Practice address
111 W High St
Suite 112
Elkton, MD 21921-5529
Phone
(410) 392-7027
Fax
(410) 392-5768
NPI assigned
Oct 4, 2006
Organization subpart
No

Authorized official

Name
Mrs. Jayne Fleck Pool
Title
Chief Compliance Officer
Phone
(469) 467-8705

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070822000224 MD Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6305938432 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cecilton, MD; Havre de Grace, MD; Elkton, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

111 W High St
Suite 112
Elkton, MD 21921-5529

Mailing address

PO Box 1245
Indiana, PA 15701-5245
Phone (724) 465-3496

Other names

  • Physiotherapy Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2010.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1699861138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157015245",
            "telephone_number": "724-465-3496",
            "fax_number": "215-413-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "address_2": "SUITE 112",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215529",
            "telephone_number": "410-392-7027",
            "fax_number": "410-392-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES - UNION REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "FLECK",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiotherapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkton, MD

All providers in Elkton, MD · Physical Therapy Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.