NPIMap

Organization Active NPI

Spring Ridge Physical Therapy

Doing business as Superior Physical Therapy and Sports Rehab

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1790808855
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPRING RIDGE PHYSICAL THERAPY
Doing business as
Superior Physical Therapy and Sports Rehab
Practice address
9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712
Phone
(301) 696-5595
Fax
(301) 696-0843
NPI assigned
Apr 6, 2007
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Earl Forbes Cox III, MSPTNPI 1164539128
Title
Owner President
Phone
(301) 696-5595

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD Primary

Addresses

Primary practice location

9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712

Mailing address

9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712
Phone (301) 696-5595

Other names 1

  • Superior Physical Therapy and Sports Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000261 MD Part B Supplier - Clinic/Group Practice 1850363185 Receives reassigned benefits from 7 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

9099 Ridgefield Dr
Ste 202
Frederick, MD 21701
Phone (301) 696-5595

Practitioners & affiliated clinicians

Practitioners 9

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1790808855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712",
            "telephone_number": "301-696-5595",
            "fax_number": "301-696-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712",
            "telephone_number": "301-696-5595",
            "fax_number": "301-696-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING RIDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "FORBES",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "301-696-5595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Physical Therapy and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Physical Therapy and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.