Provider Demographics
NPI:1528240850
Name:PHYSICAL THERAPY FIRST, LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY FIRST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAUR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:410-662-7977
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-0151
Mailing Address - Country:US
Mailing Address - Phone:410-662-7977
Mailing Address - Fax:833-441-1785
Practice Address - Street 1:200 W COLD SPRING LN STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2831
Practice Address - Country:US
Practice Address - Phone:410-662-7977
Practice Address - Fax:410-662-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
MD20271305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD168MMedicare PIN