NPIMap

Organization Active NPI

Baltimore Physical Aquatic & Sports Therapy LLC

  • Physical Therapy Clinic/Center
  • Cockeysville, MD
National Provider Identifier
1902561855
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BALTIMORE PHYSICAL AQUATIC & SPORTS THERAPY LLC
Practice address
598 Cranbrook Rd
Cockeysville, MD 21030-3702
Phone
(410) 213-5808
Fax
(410) 213-5810
NPI assigned
Nov 5, 2021
Organization subpart
Yes
Parent organization
BALTIMORE PHYSICAL, AQUATIC, & SPORTS THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Heather Wright
Title
RCM
Phone
(410) 213-5800

Specialties & licenses 1

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

Addresses

Primary practice location

598 Cranbrook Rd
Cockeysville, MD 21030-3702

Mailing address

598 Cranbrook Rd
Cockeysville, MD 21030-3702
Phone (410) 213-5808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000129 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254723703 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Towson, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Balt Phys Aqua SPTS Thpy

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1902561855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 CRANBROOK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303702",
            "telephone_number": "410-213-5808",
            "fax_number": "410-213-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 CRANBROOK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303702",
            "telephone_number": "410-213-5808",
            "fax_number": "410-213-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE PHYSICAL AQUATIC & SPORTS THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALTIMORE PHYSICAL, AQUATIC, & SPORTS THERAPY",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "410-213-5800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.