NPIMap

Organization Active NPI

Megan Rich Physical Therapy

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1700812252
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17837 Issued in MD
Legal business name
MEGAN RICH PHYSICAL THERAPY
Practice address
9492 Deereco Rd
Timonium, MD 21093-2102
Phone
(410) 308-7182
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Brian Joseph Rich
Title
Managing C0-Director
Phone
(410) 308-7182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 17837 MD Primary

Addresses

Primary practice location

9492 Deereco Rd
Timonium, MD 21093-2102

Mailing address

9492 Deereco Rd
Timonium, MD 21093-2102
Phone (410) 308-7182

Other identifiers 2

IdentifierTypeStateIssuer
S285OtherMDBC/BS
J247OtherMDBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000902 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779507694 Receives reassigned benefits from 14 practitioners
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

9492 Deereco Rd
Timonium, MD 21093
Phone (410) 308-7182

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1700812252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9492 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932102",
            "telephone_number": "410-308-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9492 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932102",
            "telephone_number": "410-308-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN RICH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING C0-DIRECTOR",
        "authorized_official_telephone_number": "410-308-7182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "S285",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J247",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.