Physica Medica LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25385 Issued in MD

Legal business name

PHYSICA MEDICA LLC

Practice address

800 S Bond St
Baltimore, MD 21231-3708

Phone

(443) 831-0883

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Maksim Birikov, DPTNPI 1376933911

Title

Doctor of Physical Therapy

Phone

(443) 831-0883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maksim Birikov

  • Physical Therapist
  • Baltimore, MD
  • NPI 1376933911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1902396005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S BOND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313708",
            "telephone_number": "443-831-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BOND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313708",
            "telephone_number": "443-831-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICA MEDICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BIRIKOV",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "443-831-0883",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "25385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHR of Baltimore, Inc.
• Alexander Phu, DO
• Elizabeth Tran Ngoc Phung, D.O.
• Simran Phuyal, MD
• Zaw Hlyan Phyo, MD
• Physical Therapy First, LLC
• Physician Group WPCC
• Physicians Eye Care Center LLC
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Physical Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.