899 Cecil Avenue Operations LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02010 Issued in MD

Legal business name

899 CECIL AVENUE OPERATIONS LLC

Doing business as

Waugh Chapel Center

Practice address

1221 Waugh Chapel Rd
Gambrills, MD 21054-1608

Phone

(410) 923-2020

NPI assigned

Apr 21, 2016

Last updated

Sep 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Waugh Chapel Center Doing business as

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1962856344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 WAUGH CHAPEL RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541608",
            "telephone_number": "410-923-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 WAUGH CHAPEL RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541608",
            "telephone_number": "410-923-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "899 CECIL AVENUE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "02010",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442158200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waugh Chapel Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.