1 MAGNOLIA DRIVE OPERATIONS LLC (NPI# 1326492703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326492703 |
| Entity Type | Organization |
| Organization Name | 1 MAGNOLIA DRIVE OPERATIONS LLC |
| Other Organization Name | LA PLATA CENTER |
| Practice Address |
1 Magnolia Dr La Plata MD 20646-9357 |
| Practice Telephone | 3019344001 |
| Mailing Telephone | 3019344001 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-08-31 |
| 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 | 08005 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 08005 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 442703300 | 05 |
| Other Name | Type Code |
|---|---|
| La Plata Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033391503 | 1 Magnolia Drive Operations LLC | Skilled Nursing Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2007-11-27 |
| Street Address |
1 MAGNOLIA DR |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-9357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393191 | Meridian Healthcare, Inc | Skilled Nursing Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2006-06-10 |
| 1952860660 | Modupe Fadojutimi | Nurse Practitioner | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2019-03-13 |
| 1720575772 | Kelsea Thomas | Occupational Therapy Assistant | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2018-04-16 |
| 1801267687 | Steven Keller | Occupational Therapy Assistant | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2015-10-19 |
| 1851699961 | Adrienne Marie Gorretta | Occupational Therapy Assistant | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2011-03-14 |
| 1245476746 | Tawnya Linn Cady | Occupational Therapy Assistant | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2009-01-05 |
| 1033391503 | 1 Magnolia Drive Operations LLC | Skilled Nursing Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2007-11-27 |
| 1669665261 | Lisa Laclair | Physical Therapy Assistant | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2007-08-27 |
| 1952507014 | Maria Cecilia Labor Camposano | Skilled Nursing Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2007-06-26 |
| 1831313071 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 1 Magnolia Dr, La Plata, MD 20646-9357 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| 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 |
|---|---|---|---|---|
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1568619674 | Alaina Hess | Physical Therapist | 5 Oak Ave, La Plata, MD 20646-5958 | 2008-08-20 |
| 1447476213 | La Plata R-ii Schools | Physical Therapist | 201 W Moore St, La Plata, MO 63549-1115 | 2007-04-18 |
| 1104908540 | Susan Peterson | Physical Therapist | 134 Drury Dr, La Plata, MD 20646-4241 | 2006-10-19 |
| 1144317991 | Patricia Diane Samsel | Physical Therapist | 9760 Elm Ln, La Plata, MD 20646-3712 | 2006-10-05 |
| 1639195548 | Sherwin Rodriguez Nol | Physical Therapist | 6620 Crain Hwy Ste 101, La Plata, MD 20646-4273 | 2006-07-14 |
| 1306447008 | Nol Physical Therapy, LLC | Physical Therapist | 6620 Crain Hwy Ste 101, La Plata, MD 20646-4273 | 2020-11-08 |
| 1043818602 | Virginia Lee Cusick | Physical Therapist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-10-15 |
| 1144794074 | Joanne Roberts | Physical Therapist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-01-14 |
| Find all providers in LA PLATA | ||||
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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.