MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC. (NPI# 1265809263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265809263 |
| Entity Type | Organization |
| Organization Name | MAXIMUM PERFORMANCE PHYSICAL THERAPY, INC. |
| Practice Address |
14435 Cherry Lane Ct Laurel MD 20707-4959 |
| Practice Telephone | 3017763665 |
| Practice Fax Number | 3017766669 |
| Mailing Telephone | 3017763665 |
| Mailing Fax Number | 3017766669 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | DR. MATHIAS CLIFFORD BODDICKER III (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3023824684 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
25618 | MD | Ambulatory Health Care Facilities |
| Street Address |
14435 CHERRY LANE CT |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336226620 | Stephanie E Sabol | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2006-11-01 |
| 1770946758 | Mathias Boddicker IIi | Physical Therapist | 14435 Cherry Lane Ct, Suite Number 100, Laurel, MD 20707-4959 | 2016-03-29 |
| 1811242415 | Michael Hunter Kime | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2012-07-19 |
| 1124272836 | Matthew B Greene | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2008-11-07 |
| 1891958286 | Tivell Byrd | Physical Therapist | 14435 Cherry Lane Ct, Laurel, MD 20707-4959 | 2008-07-07 |
| 1962600981 | Marie A. Brantley | Registered Nurse | 14435 Cherry Lane Ct, Suite 206, Laurel, MD 20707-4959 | 2007-07-11 |
| 1740485143 | Tateioms, LLC | Clinic/Center | 14435 Cherry Lane Ct, Suite 206, Laurel, MD 20707-4959 | 2007-06-18 |
| 1669676565 | Tateioms, LLC | Clinic/Center | 14435 Cherry Lane Ct, Suite 206, Laurel, MD 20707-4959 | 2007-06-13 |
| 1861600868 | Maximum Performance Physical Therapy, Inc | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2007-05-21 |
| 1821175365 | Thomas William Yates | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093248452 | Optimize Therapy and Fitness LLC | Clinic/Center | 10981 Johns Hopkins Rd, Suite 210, Laurel, MD 20723-6002 | 2017-04-04 |
| 1225479017 | Sports Health and Wellness, LLC | Clinic/Center | 10521 Patuxent Ridge Way, Laurel, MD 20723-5719 | 2013-07-10 |
| 1992026835 | Jung Orthopedic & Sports Physiotherapy Institute | Clinic/Center | 3260 Nile Ln, Laurel, MD 20724-6127 | 2010-06-15 |
| 1831411271 | Chesapeake Bay Aquatic & Physical Therapy, Inc | Clinic/Center | 314 Marshall Ave, Laurel, MD 20707-4823 | 2010-02-26 |
| 1184854929 | Lakeside Physical Therapy, LLC | Clinic/Center | 404 E Front St, Laurel, DE 19956-1741 | 2009-07-14 |
| 1306962899 | Orthopedic Rehabilitation, LLC | Clinic/Center | 2015 Highway 15 N, Suite A, Laurel, MS 39440-1838 | 2007-03-22 |
| 1013190073 | Durmano Rehabilitation & Management, LLC | Clinic/Center | 407 Main St, Laurel, MD 20707-4104 | 2007-12-13 |
| 1942335922 | Encore Rehabilitation Inc | Clinic/Center | 30 Circle J Dr, Unit 5, Laurel, MS 39440-1980 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 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 |
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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.