CPT NPI 1487038543

NPI Information

NPI: 1487038543
Provider Name: CPT

Other Name: POTOMAC BEHAVIORAL AND OCCUPATIONAL THERAPY

Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
249 HENDERSON AVE
CUMBERLAND, MD
ZIP 21502
Phone: (240) 362-7444
Get Directions

CPT is a family health clinical nurse specialist in Cumberland, MD. CPT NPI is 1487038543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Potomac Behavioral And Occupational Therapy.

The provider's business location address is:

249 HENDERSON AVE
CUMBERLAND, MD
ZIP 21502-638
Phone: (240) 362-7444

The provider's authorized official is James Schnably .
The authorized official title is Owner and has the following contact phone number (214) 435-4752.

The CLIA number assigned to this NPI record is 21D2137898 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SF0001X	Clinical Nurse Specialist	Family Health	R201919	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	789005200	MEDICAID	MARYLAND

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: 5/5/2024

NPI Synchronization or Removal

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