4 OAKS PHYSICAL THERAPY, LLC. (NPI# 1144637570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144637570 |
| Entity Type | Organization |
| Organization Name | 4 OAKS PHYSICAL THERAPY, LLC. |
| Other Organization Name | MARQUESS PHYSICAL THERAPY |
| Practice Address |
10632 Little Patuxent Pkwy Suite 123 Columbia MD 21044-3273 |
| Mailing Address |
629 Shore Acres Rd Arnold MD 21012-1649 |
| Practice Telephone | 4439172973 |
| Practice Fax Number | 4439172983 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | MR. TRAVIS MARQUESS (OWNER) |
| Authorized Official Telephone | 4439172973 |
| Authorized Official Credential | MPT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
19806 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marquess Physical Therapy | Doing Business As Name - Organization |
| Street Address |
10632 LITTLE PATUXENT PKWY SUITE 123 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869948 | Sangita Tejas Doshi | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2005-11-22 |
| 1396366431 | Samantha Hutchison | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2020-04-29 |
| 1528524428 | Ann Gi Hun Pak Yip | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2019-02-15 |
| 1811420615 | Jayyidah Clarke | Social Worker | 10632 Little Patuxent Pkwy, Suite 327, Columbia, MD 21044-3273 | 2017-04-07 |
| 1932640760 | Aziz Obgyn | Obstetrics & Gynecology | 10632 Little Patuxent Pkwy, Suite 106, Columbia, MD 21044-3273 | 2017-03-13 |
| 1114386125 | Affinity Counseling and Family Life Services, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2016-02-18 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 1700265691 | Kimberly Vanputten-gardner | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2015-05-25 |
| 1568869832 | Starr Behavioral Services Corp | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044 | 2014-12-02 |
| 1699172411 | Sangita Tejas Doshi, Dds, LLC | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2014-11-21 |
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| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
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| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1366007338 | Red Canyon, LLC | Clinic/Center | 5500 Knoll North Dr Ste 230, Columbia, MD 21045-2362 | 2019-05-06 |
| 1861964728 | Forever Fit Physical Therapy & Wellness LLC | Clinic/Center | 9881 Broken Land Pkwy Ste 103, Columbia, MD 21046-3013 | 2018-12-17 |
| 1780181305 | Glackin Physiotherapy, LLC | Clinic/Center | 9159 Red Branch Rd Ste F, Columbia, MD 21045-2041 | 2018-04-10 |
| 1063938108 | Limitless Physiotherapy, LLC | Clinic/Center | 9192 Red Branch Rd Ste 120, Columbia, MD 21045-2053 | 2017-08-21 |
| 1659802791 | Kelsey Marie Okruch | Clinic/Center | 6607 Chrissula Ln, Columbia, MO 65203-6613 | 2017-03-21 |
| 1245693399 | Women's Health Pt of Central Md LLC | Clinic/Center | 7130 Minstrel Way Ste Ll110, Columbia, MD 21045-5261 | 2016-04-05 |
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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.