NPIMap

Organization Active NPI

Bayside Physical Therapy & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Edgewater, MD
National Provider Identifier
1871898411
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BAYSIDE PHYSICAL THERAPY & SPORTS REHABILITATION LIMITED PARTNERSHIP
Practice address
3179 Braverton St
Suite 201
Edgewater, MD 21037-2665
Phone
(410) 956-4308
Fax
(410) 956-8038
NPI assigned
Jan 12, 2011
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Richard Binstein
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3179 Braverton St
Suite 201
Edgewater, MD 21037-2665

Mailing address

3179 Braverton St
Suite 201
Edgewater, MD 21037-2665
Phone (410) 956-4308

Other practice location 1

70 Sherry Ln Ste 201
Prince Frederick, MD 20678-3282
Phone (443) 295-8134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000211 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193902948 Receives reassigned benefits from 9 practitioners
Practice locations: Edgewater, MD; Stevensville, MD; Glen Burnie, MD; Centreville, MD

National Provider Directory

National Provider Directory
Tax ID family
Bayside Physical Therapy Sports Rehabilitation Limited Partnership7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

740 State Route 3 S
Gambrills, MD 21054
Phone (410) 923-0018

2015 Chaneyville Rd
Ste 202
Owings, MD 20736
Phone (410) 401-1980

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1871898411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST",
            "address_2": "SUITE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372665",
            "telephone_number": "410-956-4308",
            "fax_number": "410-956-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST",
            "address_2": "SUITE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372665",
            "telephone_number": "410-956-4308",
            "fax_number": "410-956-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Sherry Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783282",
            "country_code": "US",
            "telephone_number": "443-295-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYSIDE PHYSICAL THERAPY & SPORTS REHABILITATION LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.