NPIMap

Organization Active NPI

Breathe Free Physical Therapy & Yoga, LLC

  • Physical Therapy Clinic/Center
  • Pikesville, MD
National Provider Identifier
1851990360
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BREATHE FREE PHYSICAL THERAPY & YOGA, LLC
Practice address
1700 Reisterstown Rd Ste 109
Pikesville, MD 21208-2978
Phone
(410) 908-5595
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Melissa Wohlberg, PT, DPT, RY200NPI 1336747930
Title
Founder
Phone
(410) 908-5595

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Human Factors Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251H1300X
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1700 Reisterstown Rd Ste 109
Pikesville, MD 21208-2978

Mailing address

711 Old Crossing Drive
Baltimore, MD 21208
Phone (410) 908-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301000564 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446665335 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory

Locations

1314 Bedford Ave
Ste 212
Pikesville, MD 21208

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": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1851990360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 OLD CROSSING DRIVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-908-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 109",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082978",
            "telephone_number": "410-908-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE FREE PHYSICAL THERAPY & YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "WOHLBERG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "410-908-5595",
        "authorized_official_credential": "PT, DPT, RY200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Human Factors",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.