Organization Active NPI

A Time to Heal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Cambridge, MD
National Provider Identifier
1922454065
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20096 Issued in MD
Legal business name
A TIME TO HEAL PHYSICAL THERAPY, LLC
Practice address
1805 Hudson Rd
Cambridge, MD 21613-3350
Phone
(410) 330-9425
NPI assigned
May 8, 2016
Last updated
May 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2016

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

Authorized official

Name
Ms. Sara A Lettelleir, DPTNPI 1932327590
Title
Owner
Phone
(410) 330-9425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20096 MD Primary

Addresses

Primary practice location

1805 Hudson Rd
Cambridge, MD 21613-3350

Mailing address

1805 Hudson Rd
Cambridge, MD 21613-3350
Phone (410) 330-9425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160719000061 MD Part B Supplier - Clinic/Group Practice 3476846106 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, MD; Cambridge, MD

National Provider Directory

National Provider Directory

Locations

32 S Washington St
Ste 4
Easton, MD 21601
Phone (410) 330-9425

8133 Elliott Rd
Ste 203
Easton, MD 21601
Phone (410) 330-9425

8707 Commerce Dr
Ste G
Easton, MD 21601
Phone (410) 330-9425

8737 Brooks Dr
Ste 103
Easton, MD 21601
Phone (410) 310-5584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462665600000",
    "number": "1922454065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HUDSON RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133350",
            "telephone_number": "410-330-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HUDSON RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133350",
            "telephone_number": "410-330-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TIME TO HEAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A",
        "authorized_official_last_name": "LETTELLEIR",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-330-9425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; 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.