ACTIVATE BODY POTENTIAL, INC.
Physical Medicine & Rehabilitation (Sports Medicine)

Address: 2010 Clipper Park Rd Ste 115, Baltimore, MD 21211-1439

ACTIVATE BODY POTENTIAL, INC. (NPI# 1225629215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225629215
Entity Type Organization
Organization Name ACTIVATE BODY POTENTIAL, INC.
Practice Address 2010 Clipper Park Rd Ste 115
Baltimore
MD 21211-1439
Practice Telephone 4102355220
Mailing Address 2010 Clipper Park Rd Ste 115
Baltimore
MD 21211-1439
Mailing Telephone 4102355220
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Authorized Official Telephone 4435627814
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
193400000X SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL https://www.activatebody.com/ (Website) 2010 Clipper Park Rd Ste 115, Baltimore, MD 212111439 Direct Other Email

Office Location

Street Address 2010 CLIPPER PARK RD STE 115
City BALTIMORE
State MD
Zip Code 21211-1439

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314090 360 Rehabilitation & Chiropractic LLC Chiropractor 2010 Clipper Park Rd Ste 117, Baltimore, MD 21211-1439 2020-07-24

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1598308322 Deep Roots Wellness Social Worker · Clinical 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 2019-10-24
1194214981 Heather Carr Bergan Physical Therapy Assistant Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 2018-05-07
1427546100 Rebecca Meredith Student in an Organized Health Care Education/Training Program 843 Powers St, Baltimore, MD 21211 2018-04-27
1851896534 Dexter Kendrick Acupuncturist 2700 Reminton Ave, Baltimore, MD 21211 2018-03-26
1770092678 Bethany Grove Counselor · Professional 3433 Chestnut Ave, Baltimore, MD 21211 2017-09-22
1184140857 Walgreen Co · Walgreens #18308 Durable Medical Equipment & Medical Supplies 2700 Remington Ave Ste 500, Baltimore, MD 21211 2017-08-15
1528589116 Natalie C Hung Psychologist · Clinical 623 W 34th St Ste 105, Baltimore, MD 21211 2017-07-05
1003359332 Hannah Elise Rose Counselor · Mental Health 711 W 40th Street, Suite 425, Baltimore, MD 21211 2016-11-17
1376091876 Penelope Kaikis Speech-Language Pathologist 3825 Greenspring Avenue, Baltimore, MD 21211 2016-09-14
1265862429 Alexandra Theo Samets Social Worker The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 2013-11-25
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134758527 Mechelle Suezette Norris Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 2020-04-07
1275180424 Johns Hopkins University 600 N Wolfe St, Baltimore, MD 21287-0005 2019-08-22
1528614690 Resilient Physiotherapy 8303 Pulaski Hwy, Baltimore, MD 21237-2962 2019-08-14
1467847939 Alexis Coslick 600 N Wolfe Street, Phipps 174, Baltimore, MD 21287-0005 2015-04-01
1881953628 Prathap Jayaram 827 Linden Ave, Baltimore, MD 21201-4606 2012-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295331957 Kelsey Mcculley 1501 N Market St # 4430, Frederick, MD 21701-4430 2020-12-08
1134758527 Mechelle Suezette Norris Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 2020-04-07
1891352241 Dawn Thomas 11392 Livingston Rd, Fort Washington, MD 20744-5143 2019-05-21
1497220271 Thomas Andrew Allen 10801 Bellehaven Blvd, Damascus, MD 20872-2201 2018-10-09
1003313966 Performance Physical Therapy and Sports Rehabilitation LLC 5501 Twin Knolls Rd Ste 111, Columbia, MD 21045-3260 2018-04-09
1760877492 Marc Philip Gruner 6608 River Trail Ct, Bethesda, MD 20817-4324 2015-03-31
1679890636 Justin D Waltrous 8096 Edwin Raynor Blvd Ste C, Pasadena, MD 21122-6837 2010-04-29
1033111950 Brian Yongtae Kim 5 Executive Park Ct, Germantown, MD 20874-2643 2005-08-11
1194368712 Courtney Donald · Courtney Friese 14000 Jericho Park Rd, Bowie, MD 20715-3319 2019-10-27
1275180424 Johns Hopkins University 600 N Wolfe St, Baltimore, MD 21287-0005 2019-08-22
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City BALTIMORE
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.