Active NPI
Harris and Deflora Rehabilitation Inc
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1750379905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11350
- Legal business name
- HARRIS AND DEFLORA REHABILITATION INC
- Practice address
- 8202 Pulaski Hwy
Baltimore, MD 21237-2825 - Phone
- (410) 391-4300
- Fax
- (410) 391-4453
- NPI assigned
- Oct 12, 2005
- 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. Grace G Harris, PT
- Title
- Physical Therapist
- Phone
- (410) 391-4300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11350 | MD | Primary |
| Physical Therapist | 225100000X | 10800 | MD |
Addresses
Primary practice location
8202 Pulaski Hwy
Baltimore, MD 21237-2825
Mailing address
8202 Pulaski Hwy
Baltimore, MD 21237-2825
Phone (410) 391-4300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228588600 | Medicaid | MD | |
| K098 | Other | MD | BCBS |
| K076 | Other | WA | BCBS |
National Provider Directory
National Provider DirectoryLocations
8202 Pulaski Hwy
Baltimore, MD 21237
Phone (410) 391-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1750379905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 PULASKI HWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212372825",
"telephone_number": "410-391-4300",
"fax_number": "410-391-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 PULASKI HWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212372825",
"telephone_number": "410-391-4300",
"fax_number": "410-391-4453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIS AND DEFLORA REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "410-391-4300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "11350",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "10800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228588600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "K098",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "K076",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.