Pacific Rehab of Maryland LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PACIFIC REHAB OF MARYLAND LLC

Practice address

1120 Saint Paul St
Baltimore, MD 21202-2618

Phone

(240) 446-6845

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Patrick Murray

Title

Ceo

Phone

(240) 446-6845

Specialties & licenses 1

Addresses

Other names 1

• St Paul & Biddle Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1831973015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748932",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022618",
            "telephone_number": "240-446-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC REHAB OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-446-6845"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Paul & Biddle Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacesetter Healthcare Resources LLC
• Pacesetter Healthcare Resources LLC
• Licia Pacheco-Luna, MD
• Melvin B Pachino, RPH
• Pacific Rehab of Maryland
• Kayla Danielle Pacifici, BCBA
• Zoey Packard
• Jonathan David Packer, M.D.
• Theodosia R Paclawskyj, PHD
• Pact Helping Children With Special Needs Inc

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.