NPIMap

Organization Active NPI

Sage Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Pikesville, MD
National Provider Identifier
1871224220
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAGE PHYSICAL THERAPY & WELLNESS, LLC
Practice address
4000 Old Court Rd Ste 100
Pikesville, MD 21208-2891
Phone
(410) 415-0005
Fax
(410) 415-0006
NPI assigned
Jun 17, 2022
Organization subpart
Yes
Parent organization
SAGE PHYSICAL THERAPY & WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Todd Sigmon
Title
Delegated Official
Phone
(410) 970-8177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4000 Old Court Rd Ste 100
Pikesville, MD 21208-2891

Mailing address

PO Box 745944
Atlanta, GA 30374-5944
Phone (410) 970-8177

National Provider Directory

National Provider Directory
Tax ID family
Sage PT WLNS LLC7 organizations share this tax ID, including this one
Part of
Sage PT WLNS LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1871224220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745944",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745944",
            "telephone_number": "410-970-8177",
            "fax_number": "410-313-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD STE 100",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082891",
            "telephone_number": "410-415-0005",
            "fax_number": "410-415-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE PHYSICAL THERAPY & WELLNESS, LLC",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "410-970-8177"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Jun 17, 2022; 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.