Individual provider Active NPI

Diomidis Gregory Pirovolidis, P.T.

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1790819530
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17544 Issued in MD
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805002565 MD Practitioner - Physical Therapist in Private Practice 1153703251 Reassigns benefits to 1 organization

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
Upper Chesapeake Health Rehabilitation Services LLCGroup PAC ID 5294801148, 18 clinicians

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

LicenseStateTypeSpecialty
17544MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Health Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 31, 2022 Accepting new patients
Kernan Physical Therapy Past Accepting new patients
Upper Chesapeake Health Rehabilitation Services, LLC PastSince Apr 9, 2024 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.

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.

Verify at the official NPI Registry.