Invictus Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INVICTUS PHYSICAL THERAPY LLC

Practice address

43 Warrenton Rd
Baltimore, MD 21210-2924

Phone

(443) 499-3633

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Ricardo Wray, PT

Title

Owner/Physical Therapist

Phone

(650) 515-1538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1992308092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WARRENTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102924",
            "telephone_number": "443-499-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WARRENTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102924",
            "telephone_number": "443-499-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "650-515-1538",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Baltimore, MD
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• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.