Active NPI
Diomidis Gregory Pirovolidis, P.T.
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17544
- Practice address
- 3104 Lord Baltimore Dr
Suite 100
Baltimore, MD 21244-2898 - Phone
- (410) 298-0990
- Fax
- (410) 298-0871
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17544 | MD | Primary |
Addresses
Primary practice location
3104 Lord Baltimore Dr
Suite 100
Baltimore, MD 21244-2898
Mailing address
2006 Fallston Valley Dr
Fallston, MD 21047-1655
Phone (410) 877-8278
Other names 1
- D Gregory Pirovolidis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 W Macphail Rd
Suite 210
Bel Air, MD 21014-4469
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17544 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Health Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Kernan Physical Therapy | Past | Accepting new patients | |
| Upper Chesapeake Health Rehabilitation Services, LLC | Past | Accepting new patients |
Locations
615 W Macphail Rd
Ste 210
Bel Air, MD 21014
Phone (443) 409-0051
515 S Tollgate Rd
Ste 110
Bel Air, MD 21014
Phone (443) 643-3980
515 S Tollgate Rd
Ste 100
Bel Air, MD 21014
Phone (443) 643-3050
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Aberdeen, MD
- NPI 1578697629
Physical Therapist
-
- Orthopedic Physical Therapist
- Baltimore, MD
- NPI 1750476818
-
- Rehabilitation Hospital Unit
- Bel Air, MD
- NPI 1952153835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790819530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 FALLSTON VALLEY DR",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210471655",
"telephone_number": "410-877-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 LORD BALTIMORE DR",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442898",
"telephone_number": "410-298-0990",
"fax_number": "410-298-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIROVOLIDIS",
"first_name": "DIOMIDIS",
"middle_name": "GREGORY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "D",
"last_name": "PIROVOLIDIS",
"middle_name": "GREGORY",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.