NPIMap

Organization Active NPI

Core Foundations Physical Therapy

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1932815750
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE FOUNDATIONS PHYSICAL THERAPY
Practice address
17005 Overhill Rd
Rockville, MD 20855-1555
Phone
(410) 885-0454
Fax
(888) 286-0805
NPI assigned
Jan 25, 2023
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Liza Maciorowski, PT, DPTNPI 1699228023
Title
Owner
Phone
(912) 257-0031

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 Therapist 225100000X Primary

Addresses

Primary practice location

17005 Overhill Rd
Rockville, MD 20855-1555

Mailing address

17005 Overhill Rd
Rockville, MD 20855-1555
Phone (410) 885-0454

National Provider Directory

National Provider Directory

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": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1932815750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 OVERHILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551555",
            "telephone_number": "410-885-0454",
            "fax_number": "888-286-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 OVERHILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551555",
            "telephone_number": "410-885-0454",
            "fax_number": "888-286-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FOUNDATIONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MACIOROWSKI",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-257-0031",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.