PHYSICA MEDICA LLC (NPI# 1902396005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902396005 |
| Entity Type | Organization |
| Organization Name | PHYSICA MEDICA LLC |
| Practice Address |
510 S Eden St Baltimore MD 21231-2800 |
| Mailing Address |
6803 Harrowdale Rd Apt 202 Baltimore MD 21209-4943 |
| Practice Telephone | 4438310883 |
| Mailing Telephone | 4438310883 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | MAKSIM BIRIKOV (DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 4438310883 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 25385 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
510 S EDEN ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1447712237 | Kira Domeier | Physical Therapy Assistant | 3711 Monterey Rd, Baltimore, MD 21218-2142 | 2019-04-02 |
| 1144707225 | Colleen A Brown | Physical Therapy Assistant | 40 S Dundalk Ave Ste G3, Baltimore, MD 21222-4209 | 2018-07-23 |
| 1568958395 | Marie Kristine Mayum Deleon Butiu | Physical Therapy Assistant | 2506 W Patapsco Ave Apt 2d, Baltimore, MD 21230-6111 | 2018-07-04 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1982101895 | Wade Zachary Hilton | Physical Therapy Assistant | 1900 E Northern Pkwy Ste 104, Baltimore, MD 21239-2108 | 2018-04-07 |
| 1447702907 | Jaimie Fangman | Physical Therapy Assistant | 617 Woodhurst Way, Baltimore, MD 21228-4127 | 2016-11-01 |
| 1750730321 | Pamela Cahill | Physical Therapy Assistant | 1120 St Paul Street, Ground Floor, Baltimore, MD 21202 | 2016-06-06 |
| 1801242946 | Reginald Eugene Wallace Jr. | Physical Therapy Assistant | 6137 Dunroming Rd, Baltimore, MD 21239-1924 | 2016-05-08 |
| 1538534698 | Sharyn Frederick | Physical Therapy Assistant | 100 Tuscany Rd, Apt N, Baltimore, MD 21210-3027 | 2015-12-01 |
| 1083098255 | Sarah Kenny | Physical Therapy Assistant | 1341 Weldon Ave, Baltimore, MD 21211-1536 | 2015-07-16 |
| Find all providers in BALTIMORE | ||||
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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.