NPIMap

Organization Active NPI

On Track Rehabilitation, LLC

  • Physical Therapist
  • Randallstown, MD
National Provider Identifier
1831734920
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ON TRACK REHABILITATION, LLC
Practice address
3702 Brenbrook Dr
Randallstown, MD 21133-4116
Phone
(443) 415-0004
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Erin Logan, PT
Title
Business Owner
Phone
(443) 415-0004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

3702 Brenbrook Dr
Randallstown, MD 21133-4116

Mailing address

3702 Brenbrook Dr
Randallstown, MD 21133-4116
Phone (443) 415-0004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elogan702@icloud.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1831734920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 BRENBROOK DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334116",
            "telephone_number": "443-415-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 BRENBROOK DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334116",
            "telephone_number": "443-415-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TRACK REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "443-415-0004",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elogan702@icloud.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "3702 Brenbrook Dr",
            "city": "Randallstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211334116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.