NPIMap

Organization Active NPI

Integrated Fitness and Rehab, LLC

  • Sports Physical Therapist
  • Crofton, MD
National Provider Identifier
1730801309
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
INTEGRATED FITNESS AND REHAB, LLC
Practice address
2101 Concord Blvd Ste a
Crofton, MD 21114-2055
Phone
(443) 980-4650
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Kristen Creger, PT, DPTNPI 1689045296
Title
Owner/Physical Therapist
Phone
(443) 980-4650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

2101 Concord Blvd Ste a
Crofton, MD 21114-2055

Mailing address

917 Waugh Chapel Rd
Gambrills, MD 21054-1246
Phone (443) 980-4650

National Provider Directory

National Provider Directory

Locations

2101 Concord Blvd
Ste A
Crofton, MD 21114
Phone (443) 980-4650

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1730801309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 WAUGH CHAPEL RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541246",
            "telephone_number": "443-980-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CONCORD BLVD STE A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142055",
            "telephone_number": "443-980-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FITNESS AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "CREGER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-980-4650",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.