Provider Demographics
NPI: | 1548800402 |
---|---|
Name: | EZ THERAPY LLC |
Entity Type: | Organization |
Organization Name: | EZ THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MARYAM |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NOURMAND |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 443-801-3407 |
Mailing Address - Street 1: | 2219 YORK RD STE 106 |
Mailing Address - Street 2: | |
Mailing Address - City: | TIMONIUM |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21093-3139 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 410-696-5100 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2219 YORK RD STE 104 |
Practice Address - Street 2: | |
Practice Address - City: | TIMONIUM |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21093-3174 |
Practice Address - Country: | US |
Practice Address - Phone: | 410-696-5100 |
Practice Address - Fax: | 410-870-7540 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-01-08 |
Last Update Date: | 2022-08-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |