MARYLAND REAL LIFE DESIGNS, LLC (NPI# 1609184951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609184951 |
| Entity Type | Organization |
| Organization Name | MARYLAND REAL LIFE DESIGNS, LLC |
| Other Organization Name | REAL LIFE PROSTHETICS |
| Practice Address |
932 Washington Ave Chestertown MD 21620-3324 |
| Mailing Address |
3435 Box Hill Corporate Center Dr Suite D Abingdon MD 21009-1204 |
| Practice Telephone | 4108101370 |
| Mailing Telephone | 4105690606 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | SANDRA YEATER (MEMBER/CFO) |
| Authorized Official Telephone | 4105690606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 01110310001 | 05 |
| Other Name | Type Code |
|---|---|
| Real Life Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028535 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 3435 Box Hill Corporate Center Dr, Suite D, Abingdon, MD 21009-1204 | 2005-07-28 |
| 1912216557 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 100 Biddle Ave, Suite 100, Newark, DE 19702-3981 | 2010-09-30 |
| 1144538497 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2010-09-21 |
| 1861726424 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 300 Biddle Ave, Suite 212, Newark, DE 19702-3969 | 2009-09-29 |
| Street Address |
932 WASHINGTON AVE |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984204 | Patricia Ann Fanning | Chiropractor | 932 Washington Ave, Chestertown, MD 21620-3324 | 2005-12-28 |
| 1194893370 | Chestertown Optical Shoppe Inc | Technician/Technologist | 932 Washington Ave, Unit G, Chestertown, MD 21620-3324 | 2006-12-04 |
| 1073681235 | Terry Rabinowitz | Technician/Technologist | 932 Washington Ave, Unit G, Chestertown, MD 21620-3324 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTOWN |
| Zip Code | 21620 |
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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.