7520 Surratts Road Operations LLC
Organization Active NPI Physical Therapist · Clinton, MD
NPI 1851745236 · NPPES record last updated Aug 31, 2017
Key facts
- NPI
- 1851745236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16019 (MD)
- Legal business name
- 7520 SURRATTS ROAD OPERATIONS LLC
- Practice address
- 7520 Surratts Rd
Clinton, MD 20735-3353 - Phone
- (301) 856-1660
- NPI assigned
- Apr 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 7520 Surratts Road Operations LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 16019 | MD | Yes |
| Occupational Therapist |
225X00000X | 16019 | MD |
Addresses
Primary practice location
7520 Surratts Rd
Clinton, MD 20735-3353
Mailing address
7520 Surratts Rd
Clinton, MD 20735-3353
Phone (301) 856-1660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564401100 | Medicaid | MD |
Other names
- Bradford Oaks Center
Other providers in Clinton, MD
- 1821 Freight, LLC
- 7520 Surratts Opco LLC
- 7520 Surratts Road Operations LLC
- A & a Senior Transportation
- A Mix of Emotions LLC
- A-1 Ambulance & Transport Inc
- A-1 Ambulance & Transport, Inc.
- Ab Serenity Sprout Health Care
All providers in Clinton, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.