Rd Physical Therapy & Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19431 Issued in MD

Legal business name

RD PHYSICAL THERAPY & WELLNESS, LLC

Practice address

10806 Reisterstown Rd Ste 1E
Owings Mills, MD 21117-4620

Phone

(443) 253-4603

NPI assigned

Nov 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ravindra Dixit

Title

President

Phone

(443) 253-4603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912078049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SILENTGLADE RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172455",
            "telephone_number": "443-253-4603",
            "fax_number": "443-394-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 1E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174620",
            "telephone_number": "443-253-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXIT",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-253-4603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.