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).
| 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 |
| 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 |
| 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 |
| Street Address | 2010 CLIPPER PARK RD STE 115 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314090 | 360 Rehabilitation & Chiropractic LLC | Chiropractor | 2010 Clipper Park Rd Ste 117, Baltimore, MD 21211-1439 | 2020-07-24 |
| 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 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| 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] |
| 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 |
| 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 | |
| Find all providers in the same taxonomy | ||||
| City | BALTIMORE |
| Zip Code | 21211 |
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|---|---|---|---|---|
| 1659891760 | Activate Healthcare-Ohio · Activate Healthcare-Local 392 | Clinic/Center · Health Service | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2017-06-21 |
| 1730450826 | Full Potential · Potential Horizon | Health Maintenance Organization | 4 Park Dr, Bryant, AR 72022-2940 | 2012-01-20 |
| 1922646686 | Activate Healthcare - Peoria Public Schools Clinic · Activate Healthcare. | Clinic/Center · Primary Care | 1524 W Glen Ave, Peoria, IL 61614-4692 | 2019-12-12 |
| 1700418423 | Activate Healthcare - Novi Michigan Clinic · Activate Healthcare | Clinic/Center | 39595 W 10 Mile Rd Ste 101, Novi, MI 48375-2948 | 2020-02-11 |
| 1093360059 | Activate Healthcare - Waste Away Grp · Activate Healthcare - Waste Away Group | Clinic/Center · Primary Care | 1621 W Beardsley Ave, Elkhart, IN 46514-1825 | 2019-08-07 |
| 1831478692 | Action Potential, LLC · Action Potential | Clinic/Center · Physical Therapy | 1786 Wilmington West Chester Pike, Suite 101a, Glen Mills, PA 19342 | 2011-08-11 |
| 1619914314 | Action Potential Rllp · Action Potential | Physical Therapist | 4328 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2932 | 2006-06-01 |
| 1649440561 | Infinite Potential Centers for Healing, Inc. · Infinite Potential Chiropractic Center | Chiropractor · Nutrition | 6124 E Delcoa Ave, Scottsdale, AZ 85254-3823 | 2008-03-06 |
| 1013961770 | Action Potential Rllp · Action Potential | Physical Therapist | 1612 E Pikes Peak Ave, Colorado Springs, CO 80909-5619 | 2006-05-19 |
| 1699939850 | Action Potential Rllp · Action Potential | Physical Therapist | 2955 Professional Pl, Suite 200, Colorado Springs, CO 80904-8139 | 2008-07-16 |
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| 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.