Active NPI
Life Fitness Physical Therapy LLC
- Physical Therapist
- Nottingham, MD
National Provider Identifier
1811244247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LIFE FITNESS PHYSICAL THERAPY LLC
- Practice address
- 8100 Sandpiper Cir
Suite 106
Nottingham, MD 21236-4991 - Phone
- (410) 933-3737
- Fax
- (410) 933-3747
- NPI assigned
- Aug 3, 2012
- Organization subpart
- Yes
- Parent organization
- LIFE FITNESS PHYSICAL THERAPY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Binstein
- Title
- VP, Authorized Official
- Phone
- (713) 297-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8100 Sandpiper Cir
Suite 106
Nottingham, MD 21236-4991
Mailing address
1406B Crain Hwy S
Suite 107
Glen Burnie, MD 21061-4099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041117000899 | MD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2466416581 |
Receives reassigned benefits from 6 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ellicott City, MD; Owings Mills, MD; Towson, MD |
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Ellicott City, MD
- NPI 1285882670
O20041117000899
-
- Physical Therapist
- Owings Mills, MD
- NPI 1437495439
O20041117000899
National Provider Directory
National Provider Directory- Part of
- Life Fitness Phyl Thpy LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343952000000",
"number": "1811244247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406B CRAIN HWY S",
"address_2": "SUITE 107",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 SANDPIPER CIR",
"address_2": "SUITE 106",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364991",
"telephone_number": "410-933-3737",
"fax_number": "410-933-3747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE FITNESS PHYSICAL THERAPY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE FITNESS PHYSICAL THERAPY LLC",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A",
"authorized_official_last_name": "BINSTEIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "713-297-7000"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.