NPIMap

Organization Active NPI

Abundant Life Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Adelphi, MD
National Provider Identifier
1831527332
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
23304 Issued in MD
Legal business name
ABUNDANT LIFE PHYSICAL THERAPY LLC
Practice address
2803 Falling Brook Ter
Adelphi, MD 20783-1451
Phone
(240) 388-7255
NPI assigned
Oct 17, 2013
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Mrs. Sharonda Bynum
Title
Owner
Phone
(240) 388-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 23304 MD Primary

Addresses

Primary practice location

2803 Falling Brook Ter
Adelphi, MD 20783-1451

Mailing address

2803 Falling Brook Ter
Adelphi, MD 20783-1451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1831527332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FALLING BROOK TER",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FALLING BROOK TER",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831451",
            "telephone_number": "240-388-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-388-7255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "23304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.