Level Up Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEVEL UP PHYSICAL THERAPY LLC

Practice address

639 Main St
Reisterstown, MD 21136-1931

Phone

(443) 956-6647

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Rachel Gochnauer, PT

Title

Owner

Phone

(443) 956-6647

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1982207460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CHAMPIONS CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361751",
            "telephone_number": "443-956-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361931",
            "telephone_number": "443-956-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "GOCHNAUER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-956-6647",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Reisterstown",
            "affiliation": "N",
            "address_1": "639 Main St",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211361931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sheila Lessman, PHYSICIANS ASSISTANT
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• Claudio Ariel Levin, M.D.
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• Physical Therapy Clinic/Center in Reisterstown, MD
• Providers in Reisterstown, 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 Dec 22, 2020; 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.