NPIMap

Organization Active NPI

Sage Physical Therapy & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Salisbury, MD
National Provider Identifier
1982384665
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SAGE PHYSICAL THERAPY & WELLNESS, LLC
Practice address
1324 Belmont Ave Ste 101
Salisbury, MD 21804-4543
Phone
(410) 656-9953
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Charles Shoenfelt
Title
Cfo
Phone
(410) 553-9686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1324 Belmont Ave Ste 101
Salisbury, MD 21804-4543

Mailing address

802 Cromwell Park Dr Ste T
Glen Burnie, MD 21061-2563
Phone (703) 239-2300

National Provider Directory

National Provider Directory
Tax ID family
Sage PT WLNS LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1324 Belmont Ave
Ste 101
Salisbury, MD 21804
Phone (410) 656-9953

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1982384665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CROMWELL PARK DR STE T",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612563",
            "telephone_number": "703-239-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "410-656-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "SHOENFELT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-553-9686"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.