Injury Treatment Center of Maryland,LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INJURY TREATMENT CENTER OF MARYLAND,LLC

Practice address

8660 Liberty Rd
Randallstown, MD 21133-4707

Phone

(410) 922-2300

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Evan J Wagenheim

Title

Practice Administrator

Phone

(410) 922-2300

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Dan Abellanosa, P.T.

  • Physical Therapist
  • Randallstown, MD
  • NPI 1992074504
  NPD (past)
• Coshier Triguero, P.T.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1710256318
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992824486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334707",
            "telephone_number": "410-922-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334707",
            "telephone_number": "410-922-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY TREATMENT CENTER OF MARYLAND,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WAGENHEIM",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-922-2300"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminat Ibikunle
• Chukwudi Kel Ihekire, PHARMD
• Deborah Ilufoye, MPH, CHES
• Infinity Care Services, LLC
• Infinity Health Care Services LLC
• Integrated Rehab Consultants LLC
• Invincible Care of Adversity, Inc.
• Natalia Iula, PTA
• Ronke F Iziogo
• Sunday Iziogo Sr.

• All providers in Randallstown, MD
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.