Organization Active NPI

Mpowered Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
National Provider Identifier
1902490931
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MPOWERED PHYSICAL THERAPY, LLC
Practice address
823 Grundy St
Baltimore, MD 21224-4346
Phone
(215) 370-3881
NPI assigned
Feb 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Authorized official

Name
Michael Foley, DPT
Title
Ceo
Phone
(215) 370-3881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

823 Grundy St
Baltimore, MD 21224-4346

Mailing address

823 Grundy St
Baltimore, MD 21224-4346
Phone (215) 370-3881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1902490931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GRUNDY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244346",
            "telephone_number": "215-370-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 GRUNDY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244346",
            "telephone_number": "215-370-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWERED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-370-3881",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.