Phoenix Physical Therapy and Fitness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

24263 Issued in MD

Legal business name

PHOENIX PHYSICAL THERAPY AND FITNESS

Practice address

230 W Dares Beach Rd
Prince Frederick, MD 20678-3150

Phone

(410) 610-4275

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Hunsicker, D.P.T.

Title

Physical Therapist/Owner

Phone

(410) 610-4275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1982055323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 8TH ST",
            "city": "NORTH BEACH",
            "state": "MD",
            "postal_code": "207143010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W DARES BEACH RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783150",
            "telephone_number": "410-610-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "HUNSICKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "410-610-4275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "24263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helmut Pfalz, MD
• Sita M Pfalz
• Jason Robert Phelan, BA-ADP
• Nikki Phillips
• Lindsey B Phinisey
• Pamela Lynn Pierce, MA, NCC, LCADC
• Kori Lynn Pilkins, BA, CSC-ADP
• Ramin Pirouz, MD
• Lacy Twining Pitman, CRNP
• Plastic Surgery Center of Southern Maryland, LLC

• Physical Therapy Clinic/Center in Prince Frederick, MD
• Providers in Prince Frederick, 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 27, 2016; 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.