NPIMap

Organization Active NPI

Frederick Health Hospital Inc

Doing business as Frederick Health Physical Therapy & Sports Rehab

  • Physical Therapist
  • Brunswick, MD
National Provider Identifier
1881325660
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FREDERICK HEALTH HOSPITAL INC
Doing business as
Frederick Health Physical Therapy & Sports Rehab
Practice address
1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone
(240) 566-7200
NPI assigned
Jun 22, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK HEALTH HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Shelby Boggs
Title
Vice President
Phone
(443) 721-4452

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

Other practice location 1

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 566-7200

Other names 1

  • Frederick Health Physical Therapy & Sports Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederick Mem Hosp Inc36 organizations share this tax ID, including this one
Part of
Frederick Mem Hosp Inc

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1881325660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 DUTCHMANS CREEK DR",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217169786",
            "telephone_number": "240-566-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16403 Old Emmitsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Emmitsburg",
            "state": "MD",
            "postal_code": "217278929",
            "country_code": "US",
            "telephone_number": "240-566-7200",
            "fax_number": "240-566-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK HEALTH HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HEALTH HOSPITAL INC",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-721-4452"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Health Physical Therapy & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Health Physical Therapy & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.