# ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC

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

## Provider details

- **NPI number:** 1356884449
- **Authorized official:** ROBIN CUMMINGS (CORPORATE MANAGER)
- **Authorized official phone:** (410) 208-3630

## Contact information

- **Practice address:** 1406 S SALISBURY BLVD STE B, SALISBURY, MD 21801-7162
- **Practice address phone:** (443) 736-4091
- **Practice address fax:** (443) 736-4358
- **Mailing address:** 11070 CATHELL RD STE 4, BERLIN, MD 21811-9344
- **Mailing address phone:** (410) 208-3630
- **Mailing address fax:** (410) 208-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 713M | MEDICARE PTAN | MD |