Provider Demographics
NPI:1225281488
Name:ROY FILM PT, PA
Entity Type:Organization
Organization Name:ROY FILM PT, PA
Other - Org Name:MARYLAND PHYSICAL THERAPY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FILM
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS, FAAOMPT
Authorized Official - Phone:410-456-9831
Mailing Address - Street 1:41 DUNGARRIE RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3404
Mailing Address - Country:US
Mailing Address - Phone:410-456-9831
Mailing Address - Fax:410-510-1337
Practice Address - Street 1:8492 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE 207
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3370
Practice Address - Country:US
Practice Address - Phone:410-456-9831
Practice Address - Fax:410-510-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20088261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy