SPARKS PHYSICAL THERAPY, INC.

Provider Demographics

• NPI: 1033738687
• Name: SPARKS PHYSICAL THERAPY, INC.
• Entity Type: Organization
• Organization Name: SPARKS PHYSICAL THERAPY, INC.
• Authorized Official - Title/Position: PHYSICAL THERAPIST
• Authorized Official - Prefix: DR
• Authorized Official - First Name: BRETT
• Authorized Official - Middle Name: ERIC
• Authorized Official - Last Name: HALPERT
• Authorized Official - Credentials: DPT, OCS, FAAOMPT
• Authorized Official - Phone: 443-212-5745
• Mailing Address - Street 1: 954 RIDGEBROOK RD STE 310
• Mailing Address - City: SPARKS GLENCOE
• Mailing Address - State: MD
• Mailing Address - Zip Code: 21152-9440
• Mailing Address - Country: US
• Mailing Address - Phone: 443-212-5745
• Mailing Address - Fax: 443-212-5749
• Practice Address - Street 1: 954 RIDGEBROOK RD STE 310-330
• Practice Address - City: SPARKS GLENCOE
• Practice Address - State: MD
• Practice Address - Zip Code: 21152-9468
• Practice Address - Country: US
• Practice Address - Phone: 443-212-5745
• Practice Address - Fax: 443-212-5749
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2020-04-14
• Last Update Date: 2023-12-08

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251E1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Ergonomics	Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251H1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Hand	Group - Multi-Specialty
No	2251H1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Human Factors	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy	Group - Multi-Specialty