Active NPI
Mark Raymund Lumogdang Ocampo
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1962648816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22006
- Practice address
- 2200 Kernan Dr
Baltimore, MD 21207-6665 - Phone
- (410) 448-6301
- NPI assigned
- Dec 24, 2008
- 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 | 22006 | MD | Primary |
Addresses
Primary practice location
2200 Kernan Dr
Baltimore, MD 21207-6665
Mailing address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230076800000",
"number": "1962648816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 KERNAN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 KERNAN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPO",
"first_name": "MARK RAYMUND",
"middle_name": "LUMOGDANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-24",
"last_updated": "2008-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Obstetrical and Gynecological Assoc of the University of Maryland PA
- Obstetrical and Gynecological Assoc of the University of Maryland PA
- Obstetrical and Gynecological Assoc of the University of Maryland PA
- Lauren Emily Obusek, LMSW
- Selin Ocal, MD
- Velda Ocasio Ramirez, MD
- Kennysha Ocasio-Gonzalez
- Occupational and Behavioral Therapies
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.