Provider Demographics
NPI:1780494633
Name:STRIDES THERAPY LLC
Entity type:Organization
Organization Name:STRIDES THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DLUGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-808-1218
Mailing Address - Street 1:3776 PATUXENT RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-2419
Mailing Address - Country:US
Mailing Address - Phone:443-808-1218
Mailing Address - Fax:
Practice Address - Street 1:2525 RIVA RD STE 137
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7437
Practice Address - Country:US
Practice Address - Phone:438-081-2184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty