NPIMap

Organization Active NPI

Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Aberdeen, MD
National Provider Identifier
1780009001
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY OF MARYLAND LLC
Practice address
998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762
Phone
(410) 273-9776
Fax
(410) 273-9777
NPI assigned
Feb 24, 2014
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Bryan Barganier
Title
Cfo
Phone
(205) 536-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

5 Bel Air South Pkwy Ste 503B
Bel Air, MD 21015-6091
Phone (410) 399-9590

Other practice location 2

620 W MacPhail Rd Ste 105
Bel Air, MD 21014-4474
Phone (410) 399-9590

Other practice location 3

1401 Conowingo Rd
Bel Air, MD 21014-1809
Phone (410) 420-2257

Other practice location 4

1401 Pulaski Hwy Ste F
Edgewood, MD 21040-1398
Phone (443) 372-5300

Other practice location 5

7850 Rossville Blvd Ste 208
Baltimore, MD 21236-3934
Phone (410) 931-2738

Other practice location 6

11710 E Market Place
Suite F
Fulton, MD 20759
Phone (301) 490-0419

Other practice location 7

223 E Main St Ste E
Rising Sun, MD 21911-1657
Phone (410) 214-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140602000154 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173746609 Receives reassigned benefits from 57 practitioners
6 other NPIs on this enrollment
Practice locations: Aberdeen, MD; Baltimore, MD; Bel Air, MD; Cockeysville, MD; Elkton, MD; Fallston, MD; Forest Hill, MD; Fulton, MD…

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Drayer Physical Therapy of Maryland LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7850 Rossville Blvd
Ste 208
Baltimore, MD 21236
Phone (410) 931-2738

1401 Conowingo Rd
Bel Air, MD 21014
Phone (410) 420-2257

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1780009001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 101",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011762",
            "telephone_number": "410-273-9776",
            "fax_number": "410-273-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bel Air South Pkwy Ste 503B",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156091",
            "country_code": "US",
            "telephone_number": "410-399-9590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W MacPhail Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144474",
            "country_code": "US",
            "telephone_number": "410-399-9590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Conowingo Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210141809",
            "country_code": "US",
            "telephone_number": "410-420-2257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Pulaski Hwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210401398",
            "country_code": "US",
            "telephone_number": "443-372-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7850 Rossville Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212363934",
            "country_code": "US",
            "telephone_number": "410-931-2738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11710 E Market Place",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MD",
            "postal_code": "20759",
            "country_code": "US",
            "telephone_number": "301-490-0419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 E Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Rising Sun",
            "state": "MD",
            "postal_code": "219111657",
            "country_code": "US",
            "telephone_number": "410-214-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BARGANIER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-536-7602"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.