NPIMap

Organization Active NPI

Lasarrus Clinic and Research Center

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1790490324
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LASARRUS CLINIC AND RESEARCH CENTER
Practice address
1100 Wicomico St Ste 330
Baltimore, MD 21230-2046
Phone
(301) 388-5453
NPI assigned
Jan 18, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Nelson Emokpae, DPTNPI 1982797189
Title
Owner
Phone
(410) 591-4306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Wicomico St Ste 330
Baltimore, MD 21230-2046

Mailing address

1100 Wicomico St Ste 330
Baltimore, MD 21230-2046
Phone (301) 388-5453

National Provider Directory

National Provider Directory

Locations

1100 Wicomico St
Ste 330
Baltimore, MD 21230
Phone (301) 388-5453

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1790490324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WICOMICO ST STE 330",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302046",
            "telephone_number": "301-388-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WICOMICO ST STE 330",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302046",
            "telephone_number": "301-388-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASARRUS CLINIC AND RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "EMOKPAE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-591-4306",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2023; 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.