Active NPI
Tivell Byrd, MPT
- Physical Therapist
- Laurel, MD
National Provider Identifier
1891958286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22493
- Practice address
- 14435 Cherry Lane CT
Laurel, MD 20707-4959 - Phone
- (301) 776-3665
- Fax
- (301) 776-6669
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22493 | MD | Primary |
Addresses
Primary practice location
14435 Cherry Lane CT
Laurel, MD 20707-4959
Mailing address
14435 Cherry Lane CT
Laurel, MD 20707-4959
Phone (301) 776-3665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22493 | MD | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Performance Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Laurel, MD
- NPI 1265809263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1891958286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14435 CHERRY LANE CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074959",
"telephone_number": "301-776-3665",
"fax_number": "301-776-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14435 CHERRY LANE CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074959",
"telephone_number": "301-776-3665",
"fax_number": "301-776-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "TIVELL",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.