BOUNCE BACK PHYSICAL THERAPY LLC (NPI# 1801945878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801945878 |
| Entity Type | Organization |
| Organization Name | BOUNCE BACK PHYSICAL THERAPY LLC |
| Practice Address |
5999 Harpers Farm Rd Suite W100 Columbia MD 21044-3013 |
| Practice Telephone | 4107308686 |
| Practice Fax Number | 4107304119 |
| Mailing Telephone | 4107308686 |
| Mailing Fax Number | 4107304119 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | MR. DEAN CLATWORTHY (MEMBER) |
| Authorized Official Telephone | 4107308686 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
20214 | MD | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BOUNCE BACK PHYSICAL THERAPY LLC | 16487 Bluewood Place, La Pine, OR 97739 |
| Street Address |
5999 HARPERS FARM RD SUITE W100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076054 | Tina M Hamilton | Nurse Practitioner | 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3013 | 2005-07-11 |
| 1265889653 | American Ctr for Intellectual and Dev. Disabilities In Md, Inc. | Community/Behavioral Health | 5999 Harpers Farm Rd, Suite E-250, Columbia, MD 21044-3013 | 2016-05-16 |
| 1598001869 | Danielle Hattie Sutton | Nurse Practitioner | 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044-3013 | 2012-12-14 |
| 1184926057 | Jessica Ann Resch | Acupuncturist | 5999 Harpers Farm Rd, Suite E-260, Columbia, MD 21044-3013 | 2010-11-29 |
| 1396927620 | Angela L Lewis | Physical Therapist | 5999 Harpers Farm Rd, Suite E260, Columbia, MD 21044-3013 | 2007-11-28 |
| 1053593392 | Amy L Blanch | Physical Therapist | 5999 Harpers Farm Rd, Suite E260, Columbia, MD 21044-3013 | 2007-11-28 |
| 1407038722 | A. Lewis & Associates Physical Therapy, LLC | Physical Therapist | 5999 Harpers Farm Rd, Suite E260, Columbia, MD 21044-3013 | 2007-11-28 |
| 1831384031 | Advanced Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 5999 Harpers Farm Rd, Suite E-250, Columbia, MD 21044-3013 | 2007-09-11 |
| 1528252756 | Juliette Althea Bernis | Nurse Practitioner | 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3013 | 2007-08-30 |
| 1750591533 | The Training Room, Inc. | Durable Medical Equipment & Medical Supplies | 5999 Harpers Farm Rd, Columbia, MD 21044-3013 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 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 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on BOUNCE BACK PHYSICAL THERAPY LLC.
| 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.