BAYSIDE PHYSICAL THERPAY AND SPORTS REHABILITATION, INC
NPI 1114096880
Physical Therapist in Edgewater, MD

NPI Status: Active since November 07, 2006

Contact Information

3179 BRAVERTON ST
SUITE 201
EDGEWATER, MD
ZIP 21037
Phone: (410) 956-4308

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  • Organization
  • Physical Therapist

About BAYSIDE PHYSICAL THERPAY AND SPORTS REHABILITATION, INC

This page provides the complete NPI Profile along with additional information for Bayside Physical Therpay And Sports Rehabilitation, Inc, a provider established in Edgewater, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1114096880 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Bayside Physical Therpay And Sports Rehabilitation, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kevin C. Wrenn D.p.t. (Vice President)

NPI
1114096880
Provider Name
BAYSIDE PHYSICAL THERPAY AND SPORTS REHABILITATION, INC
Entity Type
Organization
Location Address
3179 BRAVERTON ST SUITE 201 EDGEWATER, MD 21037
Location Phone
(410) 956-4308
Mailing Address
3179 BRAVERTON ST SUITE 201 EDGEWATER, MD 21037
Mailing Phone
(410) 956-4308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN C. WRENN D.P.T.

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(410) 956-4308

Reviews for BAYSIDE PHYSICAL THERPAY AND SPORTS REHABILITATION, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114096880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21240912816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 0 + 9 + 1 + 2 + 8 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114096880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920840DR. KEVIN RICHARD DORING DDS
Individual
Dentist (General Practice)3179 BRAVERTON ST STE 100
EDGEWATER, MD 21037
(410) 956-2505
1851305148MRS. KERI JEANNINE SALYERS-CARROLL P.T.
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1447323555 KIMBERLY ROBRECHT M.P.T.
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1275685034 ANNE BENETTI D.P.T.
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1386895365DR. LORA JEAN STUTZMAN DPT
Individual
Physical Therapist3179 BRAVERTON ST SUITE 212
EDGEWATER, MD 21037
(202) 782-6371
1982845673 NICOLE JEFFERS PT
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1225470792 MAUREEN K WALTER DPT
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1043381981 KEVIN WRENN D.P.T.
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1487084810 CAITLIN PERKINS
Individual
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1871898411BAYSIDE PHYSICAL THERAPY & SPORTS REHABILITATION LIMITED PARTNERSHIP
Organization
Physical Therapist3179 BRAVERTON ST SUITE 201
EDGEWATER, MD 21037
(410) 956-4308
1710931647MS. CARRIE A. WILLIAMS PT
Individual
Physical Therapist3179 BRAVERTON ST
EDGEWATER, MD 21037
(410) 956-4308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114096880, enumerated in the NPI registry as an "organization" on November 07, 2006

The provider is located at 3179 Braverton St Suite 201 Edgewater, Md 21037 and the phone number is (410) 956-4308

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on November 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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