Active NPI
Patterson Physical Therapy Inc
- Physical Therapist
- Severna Park, MD
National Provider Identifier
1750311908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16229
- Legal business name
- PATTERSON PHYSICAL THERAPY INC
- Practice address
- 650 Ritchie Hwy
Suite 103
Severna Park, MD 21146-3916 - Phone
- (410) 647-1961
- Fax
- (410) 647-8276
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Patterson, P.T.
- Title
- Physical Therapist
- Phone
- (410) 647-1961
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16229 | MD | Primary |
| Physical Therapist | 225100000X | 16203 | MD |
Addresses
Primary practice location
650 Ritchie Hwy
Suite 103
Severna Park, MD 21146-3916
Mailing address
650 Ritchie Hwy
Suite 103
Severna Park, MD 21146-3916
Phone (410) 647-1961
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N126-0003 | Other | BCBS | |
| 89575801 | Other | MD | CAREFIRST |
| 52908331 | Other | MD | CAREFIRST |
| N126-0001 | Other | MD | BCBS |
| 52100440 | Other | MD | CAREFIRST |
| N126-0002 | Other | MD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
650 Ritchie Hwy
Ste 103
Severna Park, MD 21146
Phone (410) 647-1961
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Severna Park, MD
- NPI 1134971088
-
- Physical Therapist
- Severna Park, MD
- NPI 1003197989
-
- Physical Therapist
- Severna Park, MD
- NPI 1386614972
-
- Physical Therapist
- Severna Park, MD
- NPI 1649201435
-
- Physical Therapist
- Crozet, VA
- NPI 1568177384
-
- Physical Therapist
- Groton, CT
- NPI 1184046625
-
- Physical Therapist
- Severna Park, MD
- NPI 1720254121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1750311908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 RITCHIE HWY",
"address_2": "SUITE 103",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463916",
"telephone_number": "410-647-1961",
"fax_number": "410-647-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 RITCHIE HWY",
"address_2": "SUITE 103",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463916",
"telephone_number": "410-647-1961",
"fax_number": "410-647-8276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATTERSON PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "410-647-1961",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "16229",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "16203",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N126-0003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "89575801",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "52908331",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N126-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "52100440",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N126-0002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.