PROFESSIONAL SPORTSCARE AND REHAB (NPI# 1083022974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083022974 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORTSCARE AND REHAB |
| Practice Address |
203 Grindall St Baltimore MD 21230-4103 |
| Practice Telephone | 4108846000 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | CHAD PATTEE (PHYSICAL THERAPY DIRECTOR) |
| Authorized Official Telephone | 4108846000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | 25MT00193100 | NJ | Managed Care Organizations |
| Y | 302F00000X | Exclusive Provider Organization | A00308 | MD | Managed Care Organizations |
| Street Address |
203 GRINDALL ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629392550 | Jay Stephen Margolis Md Pa | Exclusive Provider Organization | 8502 Topping Rd, Baltimore, MD 21208-1610 | 2010-03-22 |
| 1669604930 | Medstar Family Choice, Inc | Exclusive Provider Organization | 8094 Sandpiper Cir, Suite O, Baltimore, MD 21236-4907 | 2009-08-19 |
| 1790867802 | Veterans Affairs Maryland Health Care System | Exclusive Provider Organization | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-19 |
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| 1104433135 | The Christen Group, Inc. | Exclusive Provider Organization | 16122 Mcconnell Dr, Upper Marlboro, MD 20772-3283 | 2020-09-24 |
| 1619521333 | Kelly Vahey LLC | Exclusive Provider Organization | 11350 Mccormick Rd # Ll10, Hunt Valley, MD 21031-1002 | 2019-07-31 |
| 1104226653 | Skp Family Dental | Exclusive Provider Organization | 7525 Greenway Center Dr Ste 310, Greenbelt, MD 20770-3525 | 2014-09-02 |
| 1720402415 | Darma Inc | Exclusive Provider Organization | 12921 Dunkirk Dr, Upper Marlboro, MD 20772-9303 | 2014-02-14 |
| 1477983468 | Life Spring Counseling and Consultation Services LLC | Exclusive Provider Organization | 6490 Landover Rd Ste I, Cheverly, MD 20785-1443 | 2013-11-12 |
| 1366874570 | Matthew Patrick Momoh | Exclusive Provider Organization | 216 Prenton St, Upper Marlboro, MD 20774-1534 | 2013-07-30 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1629396809 | Mentoring The Future Inc | Exclusive Provider Organization | 1816 Graybird Ct, Severn, MD 21144-3130 | 2010-05-12 |
| 1427299916 | Ed Optical LLC | Exclusive Provider Organization | 3370 Leonardtown Rd, Suite 232, Waldorf, MD 20601-3624 | 2009-03-13 |
| 1518105238 | Aaa Lovely Care, LLC | Exclusive Provider Organization | 607 University Blvd W, Silver Spring, MD 20901-4626 | 2009-02-03 |
| Find all providers with the same taxonomy | ||||
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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.