NPIMap

Organization Active NPI

Innovative Physical Therapy and Fitness Centers LLC

Doing business as Innovative Healthcare Centers

  • Multi-Specialty Clinic/Center
  • Abingdon, MD
National Provider Identifier
1710411558
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTERS LLC
Doing business as
Innovative Healthcare Centers
Practice address
100 Walter Ward Blvd
Unit 200
Abingdon, MD 21009
Phone
(302) 528-4019
Fax
(443) 327-5282
NPI assigned
Apr 19, 2017
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Bryan Morrow, MSPTNPI 1093760670
Title
Ceo
Phone
(302) 528-4019

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Physical Therapy Clinic/Center 261QP2000X 23639 MD
Emergency Medicine Physician 207P00000X NU

Addresses

Primary practice location

100 Walter Ward Blvd
Unit 200
Abingdon, MD 21009

Mailing address

9526 Philadelphia Rd
Rosedale, MD 21237-4106
Phone (443) 512-8337

Other names 1

  • Innovative Healthcare Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170814000184 MD Part B Supplier - Clinic/Group Practice 3870864648 Receives reassigned benefits from 15 practitioners
Practice locations: Aberdeen, MD; Rosedale, MD; Pasadena, MD; Millersville, MD; Baltimore, MD; Abingdon, MD
O20210623000250 DC Part B Supplier - Clinic/Group Practice 3870864648 Receives reassigned benefits from 12 practitioners
Practice locations: Fort Washington, MD; Greenbelt, MD; Silver Spring, MD; Damascus, MD

National Provider Directory

National Provider Directory
Tax ID family
Innovative PT Fitness CNTR13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

4300 Belair Rd
Ste B
Baltimore, MD 21206

11711 Livingston Rd
Ste 200
Ft Washington, MD 20744

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1710411558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 PHILADELPHIA RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374106",
            "telephone_number": "443-512-8337",
            "fax_number": "443-327-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "UNIT 200",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "302-528-4019",
            "fax_number": "443-327-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-528-4019",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "23639",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Healthcare Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.