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ACTIVATE BODY POTENTIAL INC. NPI 1225629215


NPI Information

NPI: 1225629215
Provider Name: ACTIVATE BODY POTENTIAL, INC.
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2010 CLIPPER PARK RD STE 115
BALTIMORE, MD
ZIP 21211
Phone: (410) 235-5220
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ACTIVATE BODY POTENTIAL, INC. is a sports medicine physical medicine rehabilitation in Baltimore, MD. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ACTIVATE BODY POTENTIAL, INC. NPI is 1225629215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2010 CLIPPER PARK RD STE 115
BALTIMORE, MD
ZIP 21211-439
Phone: (410) 235-5220

The provider's authorized official is Ben James Supik .
The authorized official title is President / Founder and has the following contact phone number (443) 562-7814.

The enumeration date for this NPI number is 2/1/2021 and was last updated on 2/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.