NPIMap

Organization Active NPI

St Paul & Biddle Medical Assoc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baltimore, MD
National Provider Identifier
1962893768
Registry record updated Feb 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
A2517 Issued in MD
Legal business name
ST PAUL & BIDDLE MEDICAL ASSOC.
Practice address
1721 Ramblewood Rd
Baltimore, MD 21239-3040
Phone
(443) 559-2287
NPI assigned
Feb 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2015

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

Authorized official

Name
Cassandra Elizabeth Branch
Title
Licensed Physical Therapy Assistant
Phone
(443) 559-2287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X A2517 MD Primary

Addresses

Primary practice location

1721 Ramblewood Rd
Baltimore, MD 21239-3040

Mailing address

1721 Ramblewood Rd
Baltimore, MD 21239-3040
Phone (443) 559-2287

National Provider Directory

National Provider Directory
Tax ID family
Pacific Rehab of Maryland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423958400000",
    "number": "1962893768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 RAMBLEWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393040",
            "telephone_number": "443-559-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 RAMBLEWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393040",
            "telephone_number": "443-559-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL & BIDDLE MEDICAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "443-559-2287"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MD",
            "license": "A2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.