Team Sports Injury Consulting, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20046 Issued in MD

Legal business name

TEAM SPORTS INJURY CONSULTING, LLC

Practice address

379 Field House Dr
RM 109
College Park, MD 20742-0001

Phone

(240) 281-6821

Fax

(301) 314-6549

NPI assigned

Aug 14, 2011

Last updated

Aug 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Kala Yvonne Flagg, MPT, ATC, CSCS

Title

Owner, Clinical Coordinator

Phone

(240) 281-6821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313280000000",
    "number": "1740569383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 SPANISH OAK WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213716",
            "telephone_number": "240-281-6821",
            "fax_number": "301-925-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 FIELD HOUSE DR",
            "address_2": "RM 109",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207420001",
            "telephone_number": "240-281-6821",
            "fax_number": "301-314-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM SPORTS INJURY CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-14",
        "last_updated": "2011-08-14",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "KALA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER, CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "240-281-6821",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in College Park, MD
• Providers in College Park, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; 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.