LOCH RAVEN CENTER
NPI 1326492794
Physical Therapist in Baltimore, MD

NPI Status: Active since April 21, 2016

Contact Information

8720 EMGE RD
BALTIMORE, MD
ZIP 21234
Phone: (410) 668-1961

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  • Organization
  • Physical Therapist
  • CLIA Number: 21D0874529
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-10-2025

About LOCH RAVEN CENTER

This page provides the complete NPI Profile along with additional information for Loch Raven Center, a provider established in Baltimore, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1326492794 assigned on April 2016. The practitioner's primary taxonomy code is 225100000X with license number 03044 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. Loch Raven Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Loch Raven Center. The authorized official of this NPI record is Michael T. Berg (Assistant Secretary)

NPI
1326492794
Provider Legal Name
8720 EMGE ROAD OPERATIONS LLC
Other Organization Name
LOCH RAVEN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8720 EMGE RD BALTIMORE, MD 21234
Location Phone
(410) 668-1961
Mailing Address
8720 EMGE RD BALTIMORE, MD 21234
Mailing Phone
(410) 668-1961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2016
Last Update Date
09-07-2017
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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
License No.
03044
License State
MD
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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

03044 (MD)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MICHAEL T. BERG

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(505) 468-4752

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
215090MEDICARE OSCAR/CERTIFICATION (06) 
442154000MEDICAID (05)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0874529
Facility Type
Other
Certificate Effective Date
August 11, 2023
Certificate Expiration Date
August 10, 2025
Laboratory Director
ZIAD MIRZA MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Loch Raven Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LOCH RAVEN CENTER

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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.
1326492794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346894718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 8 + 9 + 4 + 7 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1326492794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255459426 LISA B. OFFLEY
Individual
Speech-Language Pathologist8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1447467634 DENISE MARIE GRIFFIN COTA
Individual
Occupational Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1689884017 MICHELE QUIDORT
Individual
Occupational Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1902066830MS. WENDY CLARE MARVEL-WILLIAMS M.S CRNP
Individual
Nurse Practitioner (Adult Health)8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1679801252GENESIS REHAB SERVICES
Organization
Skilled Nursing Facility8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1326370495 PANNEE LAOSURASOONTORN VOORHEES PT
Individual
Physical Therapist8720 EMGE RD
BALTIMORE, MD 21234
(410) 688-1961
1205111002MRS. LYDIAH NJOKI MUCHAI COTA
Individual
Occupational Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1992058622MR. MARK GILL
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1639584576 KATE BERES M.S.
Individual
Student in an Organized Health Care Education/Training Program8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1114396652 KIMBERLY NUNEZ OTR/L
Individual
Occupational Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1972975308 LORIE BENNETT
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
10232905908720 EMGE ROAD OPERATIONS LLC
Organization
Skilled Nursing Facility8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1821534777HARI GNANASEKERAM, PC
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)8720 EMGE RD
BALTIMORE, MD 21234
(732) 280-6000
1053839431 JEANNE ANNE SLIWKA
Individual
Occupational Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1710406343 GRETA EMGE
Individual
Speech-Language Pathologist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1770092777 VERNIER LOPEZ
Individual
Physical Therapy Assistant8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1619479268 SARAH ASHLEY WALCZAK
Individual
Physical Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1023050333MERIDIAN VALLEY VIEW LP
Organization
Skilled Nursing Facility8720 EMGE RD
BALTIMORE, MD 21234
(410) 668-1961
1437274933 JANET ELSIE ARCONTI PT
Individual
Physical Therapist8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961
1336627306 JESS AGA
Individual
Physical Therapy Assistant8720 EMGE RD
PARKVILLE, MD 21234
(410) 668-1961

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326492794, enumerated in the NPI registry as an "organization" on April 21, 2016

The provider is located at 8720 Emge Rd Baltimore, Md 21234 and the phone number is (410) 668-1961

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 21D0874529 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 21, 2016. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.