EVOLUTION SPORTS PHYSIOTHERAPY - WHITE MARSH, LLC (NPI# 1134519838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134519838 |
| Entity Type | Organization |
| Organization Name | EVOLUTION SPORTS PHYSIOTHERAPY - WHITE MARSH, LLC |
| Practice Address |
10540 York Rd Suite F Cockeysville MD 21030-2300 |
| Mailing Address |
11605 Crossroads Cir D-e Middle River MD 21220-2865 |
| Practice Telephone | 4439553515 |
| Practice Fax Number | 4106280542 |
| Mailing Telephone | 4439553515 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | DR. MORGAN SANDFORD JOHNSON JR. (OWNER / PARTNET) |
| Authorized Official Telephone | 4439553515 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
20554 | MD | Ambulatory Health Care Facilities |
| Street Address |
10540 YORK RD SUITE F |
| City | COCKEYSVILLE |
| State | MD |
| Zip Code | 21030-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831382480 | Lisa Marie Kanning | Physical Therapist | 10540 York Rd, Suite H, Cockeysville, MD 21030-2300 | 2007-08-27 |
| 1316401136 | Christine Anis Fil | Nurse Practitioner | 10540 York Rd, Cockeysville, MD 21030-2300 | 2019-01-25 |
| 1922552579 | Christopher Stephen Mooney | Physical Therapist | 10540 York Rd, Cockeysville, MD 21030-2300 | 2016-08-11 |
| 1588012355 | Christopher John Burton | Physical Therapist | 10540 York Rd, Suite F-g, Cockeysville, MD 21030-2300 | 2016-06-01 |
| 1184022337 | Eric Shapiro | Specialist/Technologist, Other | 10540 York Rd, Suite H, Cockeysville, MD 21030-2300 | 2014-12-19 |
| 1821343724 | Philip Curtiss Wilkinson | Physical Therapist | 10540 York Rd, Suite F, Cockeysville, MD 21030-2300 | 2012-07-17 |
| 1174886642 | Hyperheal Hyperbarics, Inc. | Clinic/Center | 10540 York Rd, Suite H, Cockeysville, MD 21030-2300 | 2012-06-20 |
| 1366694705 | Evolution Sports Physiotherapy, Inc. | Clinic/Center | 10540 York Rd, Suite F-g, Cockeysville, MD 21030-2300 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450396 | Transcend Services Inc | Interpreter | 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 | 2019-10-30 |
| 1275015695 | Tiara Johnson | Behavior Technician | 201 International Circle, Hunt Valley, MD 21030 | 2018-09-01 |
| 1942795729 | Jackson's Nurse Practitioner Housecalls LLC | Family Medicine | 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030 | 2018-06-25 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1871012278 | Jahnelle Danica Mclennan | Dentist | 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 | 2017-09-17 |
| 1326423773 | Casey Ball | Case Management | 210 International Circle Suite 230, Hunt Valley, MD 21030 | 2015-07-28 |
| 1558705913 | Cortney J Johnstone | Occupational Therapist | 102 Lakefront Drive, Hunt Valley, MD 21030 | 2013-04-29 |
| 1104189257 | Hilary T Harrington | Counselor | 11311 Mccormick Road, 350, Hunt Valley, MD 21030 | 2012-06-22 |
| 1164715413 | Nichole Lea Edmond | Speech-Language Pathologist | 1508 Heather Hill Lane, Cockeysville, MD 21030 | 2011-05-19 |
| 1134440282 | Rabab Al-amin | Acupuncturist | 215 Wickersham Way, Cockeysville, MD 21030 | 2010-06-11 |
| Find all providers in zip 21030 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699871798 | Physiotherapy Associates Inc | Clinic/Center | 598 Cranbrook Rd, Cockeysville, MD 21030-3702 | 2006-09-15 |
| 1417508912 | Happy Davic Physical Therapy Inc | Clinic/Center | 10 Warren Rd Ste 250, Cockeysville, MD 21030-2500 | 2019-09-25 |
| 1366694705 | Evolution Sports Physiotherapy, Inc. | Clinic/Center | 10540 York Rd, Suite F-g, Cockeysville, MD 21030-2300 | 2008-10-16 |
| 1053487470 | Physiotherapy Associates | Clinic/Center | 598 Cranbrook Rd, Cockeysville, MD 21030-3702 | 2006-11-28 |
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|---|---|---|---|---|
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| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | COCKEYSVILLE |
| Zip Code | 21030 |
Please comment or provide details below to improve the information on EVOLUTION SPORTS PHYSIOTHERAPY - WHITE MARSH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.