Life Fitness Physical Therapy of Columbia

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFE FITNESS PHYSICAL THERAPY OF COLUMBIA

Practice address

10840 Little Patuxent Pkwy
Ste 402
Columbia, MD 21044-3115

Phone

(410) 992-9753

Fax

(410) 992-0268

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela M Fox

Title

Office Manager

Phone

(410) 992-9753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902916547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "STE 402",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-9753",
            "fax_number": "410-992-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "STE 402",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-9753",
            "fax_number": "410-992-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FITNESS PHYSICAL THERAPY OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-992-9753",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Simeon Libster, RN
• Kelsey Licata
• Michell Alejandra Lide Van Duzer
• Saul Neil Lieberman, PH.D.
• Life Fitness Physical Therapy LLC
• Life Love & Perspective Counseling LLC
• Life Renewal Services
• Life Renewal Services
• Life's Potential Services
• Lifebridge Community Physicians Inc

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.