# PROFLEX PHYSICAL THERAPY OF MARYLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053868927
- **Authorized official:** KATHY HEIER (DIRECTOR OF BILLING)
- **Authorized official phone:** (301) 932-4785

## Contact information

- **Practice address:** 7905 MALCOLM RD, 201, CLINTON, MD 20735-1734
- **Practice address phone:** (301) 856-0050
- **Practice address fax:** (301) 856-0518
- **Mailing address:** PO BOX 791217, BALTIMORE, MD 21279-1217
- **Mailing address phone:** (301) 932-4786
- **Mailing address fax:** (301) 932-4789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 05/13/2026
