115 EAST MELROSE AVENUE OPERATIONS LLC (NPI# 1235583600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235583600 |
| Entity Type | Organization |
| Organization Name | 115 EAST MELROSE AVENUE OPERATIONS LLC |
| Other Organization Name | LONG GREEN CENTER |
| Practice Address |
115 E Melrose Ave Baltimore MD 21212-2945 |
| Practice Telephone | 4104359073 |
| Mailing Telephone | 4104359073 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-09-07 |
| 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 | 30044 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 30044 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 442156600 | 05 |
| Other Name | Type Code |
|---|---|
| Long Green Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487836953 | 115 East Melrose Avenue Operations LLC | Skilled Nursing Facility | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2007-11-27 |
| Street Address |
115 E MELROSE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871535153 | Meridian Health, Inc | Skilled Nursing Facility | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2006-06-12 |
| 1356800981 | Taryn Olivia Adams-harlee | Nurse Practitioner | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2019-03-13 |
| 1265916498 | Hannah Marie Hiob | Occupational Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2018-09-24 |
| 1982198495 | Sharon Leeland | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2018-06-18 |
| 1881140077 | Purna Chhetri | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2016-08-29 |
| 1427420082 | Valencya Clark | Speech-Language Pathologist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2015-10-22 |
| 1306244561 | Jason Edward Copeland | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-12-19 |
| 1033512355 | Aboubacar Babale | Physical Therapy Assistant | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-09-30 |
| 1295151991 | Renee Neuman | Physical Therapist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2014-03-05 |
| 1770916819 | Bonnie May | Occupational Therapist | 115 E Melrose Ave, Baltimore, MD 21212-2945 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| 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 |
|---|---|---|---|---|
| 1235736984 | Dawn Maria Seestedt | Physical Therapist | 2501 Poplar Dr, Baltimore, MD 21207-6032 | 2020-10-06 |
| 1023615929 | Nicholas Alan Ritter | Physical Therapist | 2709 Hampden Ave, Baltimore, MD 21211-3031 | 2020-10-04 |
| 1265048227 | Rehab At Home, LLC | Physical Therapist | 6514 Edenvale Rd, Baltimore, MD 21209-2721 | 2020-09-16 |
| 1811501281 | Jeffery Alexander Diorio | Physical Therapist | 1316 Light St Apt B, Baltimore, MD 21230-4077 | 2020-09-03 |
| 1790302172 | National Rehabiliation Hospital, Inc | Physical Therapist | 3333 N Calvert St Ste 210, Baltimore, MD 21218-2867 | 2020-07-01 |
| 1528688413 | Lawrence Arthur Adams | Physical Therapist | 1608 Light St, Baltimore, MD 21230-4917 | 2020-04-21 |
| 1457971517 | Jennifer Marcus | Physical Therapist | 3505 Shelburne Rd, Baltimore, MD 21208-5630 | 2020-04-19 |
| 1043844897 | Apex Diagnostics LLC | Physical Therapist | 2700 Lighthouse Pt E Ste 405, Baltimore, MD 21224-4777 | 2020-03-02 |
| 1073152500 | Jason Seltzer | Physical Therapist | 21 S Robinson St, Baltimore, MD 21224-2256 | 2020-01-01 |
| 1568013811 | Erika Opoku | Physical Therapist | 1332 Northview Rd, Baltimore, MD 21218-1445 | 2019-09-26 |
| 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.