Active NPI
Ralph Joseph Santos
- Physical Therapist
- Columbia, MD
National Provider Identifier
1922407196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24887
- Practice address
- 5840 Banneker Rd, Ste 230
Columbia, MD 21044-3103 - Phone
- (410) 884-0000
- NPI assigned
- Aug 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24887 | MD | Primary |
Addresses
Primary practice location
5840 Banneker Rd, Ste 230
Columbia, MD 21044-3103
Mailing address
6202 Gist Ave
Baltimore, MD 21215-3608
Phone (410) 292-8725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24887 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beat Rehabilitation and Wellness, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Columbia, MD
- NPI 1972991644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1922407196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6202 GIST AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153608",
"telephone_number": "410-292-8725",
"fax_number": "877-353-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 BANNEKER RD, STE 230",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443103",
"telephone_number": "410-884-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "RALPH",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.