24 TRUCKHOUSE ROAD OPERATIONS LLC (NPI# 1174977540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174977540 |
| Entity Type | Organization |
| Organization Name | 24 TRUCKHOUSE ROAD OPERATIONS LLC |
| Other Organization Name | SEVERNA PARK CENTER |
| Practice Address |
310 Genesis Way Severna Park MD 21146-1762 |
| Practice Telephone | 4105444220 |
| Mailing Telephone | 4105444220 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 02019 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 02019 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 445120100 | 05 |
| Other Name | Type Code |
|---|---|
| Severna Park Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710169289 | 24 Truckhouse Road Operations LLC | Skilled Nursing Facility | 310 Genesis Way, Severna Park, MD 21146-1762 | 2007-11-27 |
| Street Address |
310 GENESIS WAY |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710169289 | 24 Truckhouse Road Operations LLC | Skilled Nursing Facility | 310 Genesis Way, Severna Park, MD 21146-1762 | 2007-11-27 |
| 1689200222 | Emma Martinez | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2020-03-16 |
| 1811555303 | Candice Elizabeth Dailey | Speech-Language Pathologist | 310 Genesis Way, Severna Park, MD 21146-1762 | 2019-05-30 |
| 1417435702 | Valarie M Cook | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-07-30 |
| 1952888554 | Victoria Marie Arnold | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-07-26 |
| 1710479514 | Sarah Morrison | Speech-Language Pathologist | 310 Genesis Way, Severna Park, MD 21146-1762 | 2018-06-06 |
| 1861904856 | Tenesha Monique Askins | Physical Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-10-30 |
| 1376061556 | Paige Theresa Patti | Physical Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-09-07 |
| 1811419385 | Ma. Aleighne Jonco Antiqueno | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-07-17 |
| 1255861555 | Chelsea Lynn Coster | Occupational Therapy Assistant | 310 Genesis Way, Severna Park, MD 21146-1762 | 2017-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1508230236 | Liana Sved | Physical Therapist | 580 E Richie Highway, Severna Park, MD 21146-3925 | 2015-11-18 |
| 1891072039 | Emily Paluch Albrecht | Physical Therapist | 454c Governor Ritchie Hwy, Severna Park, MD 21146-2911 | 2011-11-15 |
| 1003197989 | Sarah Nadine Sakal | Physical Therapist | 645 Baltimore Annapolis Blvd Ste 111, Severna Park, MD 21146-3956 | 2011-09-06 |
| 1477700268 | Krystal Lynn Muller | Physical Therapist | 545 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 | 2008-08-22 |
| 1215122023 | Lydia Abejuela Ramento-tipon | Physical Therapist | 630 Cypresspointe Dr, Severna Park, MD 21146-4100 | 2007-09-14 |
| 1154545572 | Rebecca Martin Placella | Physical Therapist | 877 Baltimore Annapolis Blvd, Suite 105, Severna Park, MD 21146-4700 | 2007-04-13 |
| 1598880130 | Dennis Angeles | Physical Therapist | 226 Balsam Tree Ct, Severna Park, MD 21146-2852 | 2007-03-20 |
| 1740322205 | Marilyn Clements | Physical Therapist | 725 Cottonwood Dr, Severna Park, MD 21146-2811 | 2007-02-13 |
| 1891840468 | Paula Mastboom-bell | Physical Therapist | 551 Baltimore Annapolis Blvd # F, Severna Park, MD 21146-3809 | 2007-01-24 |
| Find all providers in SEVERNA PARK | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
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| 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.