Mount Washington Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18331 Issued in MD

Legal business name

MOUNT WASHINGTON PHYSICAL THERAPY, LLC

Practice address

1501 Sulgrave Ave
Suite 307
Baltimore, MD 21209-3654

Phone

(410) 542-6878

Fax

(410) 542-6928

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Wies, MCSP

Title

Owner

Phone

(410) 542-6878

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Schulman Former legal business name

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1962882647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "SUITE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "410-542-6878",
            "fax_number": "410-542-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "SUITE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "410-542-6878",
            "fax_number": "410-542-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT WASHINGTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WIES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-542-6878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCSP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "18331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonnie Schulman",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yvette Moulton, LCPC
• Monique Lynn Mounce, PHARMD CANDIDATE
• Mount Clare Medical Center, Inc.
• Mount Washington Orthodontics
• Mount Washington Physical Therapy, LLC
• Mount Washington Psych Associates, LLC
• Mount Washington Psych Associates, LLC
• Mountain Valley Health
• Mountain View Therapeutic Wellness Center
• Amiyah Mouring

• Physical Therapy Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.