NPIMap

Organization Active NPI

Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1740790112
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19310 Issued in MD
Legal business name
MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC
Practice address
5999 Harpers Farm Rd Ste W100
Columbia, MD 21044-3015
Phone
(301) 776-3665
Fax
(301) 776-6669
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Kevin Rich
Title
Cfo
Phone
(410) 672-8970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 19310 MD Primary

Addresses

Primary practice location

5999 Harpers Farm Rd Ste W100
Columbia, MD 21044-3015

Mailing address

14435 Cherry Lane CT Ste 100
Laurel, MD 20707-4991
Phone (301) 776-3665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150126000993 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062324601 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Odenton, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5999 Harpers Farm Rd
Ste W100
Columbia, MD 21044
Phone (410) 730-8686

14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665

14435 Cherry Lane Ct
Ste 100
Laurel, MD 20707
Phone (301) 776-3665

Practitioners & affiliated clinicians

Practitioners 10

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": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1740790112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 CHERRY LANE CT STE 100",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074991",
            "telephone_number": "301-776-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD STE W100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443015",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-672-8970"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.