Organization Active NPI

Barnabus LLC

  • Physical Medicine & Rehabilitation Physician
  • Owings Mills, MD
National Provider Identifier
1851089205
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BARNABUS LLC
Practice address
10806 Reisterstown Rd Ste 3C
Owings Mills, MD 21117-2791
Phone
(443) 850-1005
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mr. Cledith Alfonzo Lee Jr., PHYSICAL THERAPY
Title
Owner
Phone
(443) 850-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10806 Reisterstown Rd Ste 3C
Owings Mills, MD 21117-2791

Mailing address

10806 Reisterstown Rd Ste 3C
Owings Mills, MD 21117-2791
Phone (443) 850-1005

National Provider Directory

National Provider Directory

Locations

10806 Reisterstown Rd
Ste 3C
Owings Mills, MD 21117
Phone (410) 356-9466

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1851089205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 3C",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172791",
            "telephone_number": "443-850-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 3C",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172791",
            "telephone_number": "443-850-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CLEDITH",
        "authorized_official_middle_name": "ALFONZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-850-1005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.