Provider Demographics
NPI:1609908839
Name:UNITED THERAPY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:UNITED THERAPY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-787-2229
Mailing Address - Street 1:6714 RITCHIE HWY
Mailing Address - Street 2:SUITE I
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2319
Mailing Address - Country:US
Mailing Address - Phone:410-787-2229
Mailing Address - Fax:410-787-0141
Practice Address - Street 1:6714 RITCHIE HWY
Practice Address - Street 2:SUITE I
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2319
Practice Address - Country:US
Practice Address - Phone:410-787-2229
Practice Address - Fax:410-787-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1594111NX0800X
MD19718261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD873FMedicare ID - Type UnspecifiedGROUP