SOMERSET PHYSICAL THERAPY NPI 1629476296

NPI Information

  • NPI: 1629476296
  • Provider Name: SOMERSET PHYSICAL THERAPY
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Organization
  • Address: 12302 SOMERSET AVENUE
    SUITE C
    PRINCESS ANNE, MD
    ZIP 21853
  • Phone: (410) 543-9000

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NPI Details

SOMERSET PHYSICAL THERAPY is a sports physical therapist in Princess Anne, MD. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. SOMERSET PHYSICAL THERAPY NPI is 1629476296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12302 SOMERSET AVENUE
SUITE C
PRINCESS ANNE, MD
ZIP 21853-312
Phone: (410) 543-9000
Fax: (410) 543-9033

The provider's authorized official is Robert S. Bartoshesky .
The authorized official title is Owner/president and has the following contact phone number (410) 543-9000.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.

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
12251S0007XPhysical TherapistSports15888MARYLANDYes

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
1071378300MEDICAIDMARYLAND
2S4020001OTHERMARYLANDCAREFIRST
3314MMEDICARE PINMARYLAND

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: 11/21/2025

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