NPIMap

Organization Active NPI

Pioneer PT LLC

  • Physical Therapy Clinic/Center
  • Abingdon, MD
National Provider Identifier
1720525462
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
22826 Issued in MD
Legal business name
PIONEER PT LLC
Practice address
301 Lothian Way
Unit 303
Abingdon, MD 21009-2690
Phone
(410) 591-1148
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Jamss Dulkerian
Title
Owner, DPT
Phone
(410) 591-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 22826 MD Primary

Addresses

Primary practice location

301 Lothian Way
Unit 303
Abingdon, MD 21009-2690

Mailing address

301 Lothian Way
Unit 303
Abingdon, MD 21009-2690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1720525462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LOTHIAN WAY",
            "address_2": "UNIT 303",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOTHIAN WAY",
            "address_2": "UNIT 303",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092690",
            "telephone_number": "410-591-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "DULKERIAN",
        "authorized_official_first_name": "JAMSS",
        "authorized_official_title_or_position": "OWNER, DPT",
        "authorized_official_telephone_number": "410-591-1148"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "22826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 19, 2017; 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.