# GREATER BALTIMORE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy at PPW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194547679
- **Authorized official:** LAURIE R BEYER (EVP & CFO)
- **Authorized official phone:** (443) 849-2519

## Contact information

- **Practice address:** 6569 N CHARLES ST, BALTIMORE, MD 21204-6831
- **Practice address phone:** (443) 849-6210
- **Mailing address:** 6701 N CHARLES STREET, S CHAPMAN BUILDING, SUITE 102, BALTIMORE, MD 21204
- **Mailing address phone:** (443) 849-2435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/28/2024
- **Last updated:** 04/14/2025