Organization Active NPI

Pelvrx

Doing business as PelvRx Physical Therapy

  • Physical Therapy Clinic/Center
  • Frederick, MD
National Provider Identifier
1831919539
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PELVRX
Doing business as
PelvRx Physical Therapy
Practice address
617 W Patrick St
Frederick, MD 21701-4027
Phone
(301) 828-2247
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Kelly Yates, DPTNPI 1023484458
Title
Owner/Physical Therapist
Phone
(301) 828-2247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

617 W Patrick St
Frederick, MD 21701-4027

Mailing address

617 W Patrick St
Frederick, MD 21701-4027
Phone (301) 828-2247

Other names 1

  • PelvRx Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

617 W Patrick St
Frederick, MD 21701
Phone (240) 405-8084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1831919539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "301-828-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "301-828-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "301-828-2247",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PelvRx Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.