MIND BODY PHYSICAL THERAPY & WELLNESS CENTER, INC.
NPI 1164437828
Specialist in Baltimore, MD

Active since July 30, 2006
1400 COPPERMINE TER, TERRACE, BALTIMORE, MD 21209(443) 279-1777 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mind Body Physical Therapy & Wellness Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY PHYSICAL THERAPY & WELLNESS CENTER, INC. (NPI 1164437828) is a healthcare organization registered as a specialist in Baltimore, Maryland and active in the NPI registry since July 2006. The organization lists Wendy A Quitasol, Owner/office Manager, as its authorized official.

NPPES Registry Identity

NPI1164437828
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIND BODY PHYSICAL THERAPY & WELLNESS CENTER, INC.
Location Address1400 COPPERMINE TER, TERRACEBaltimore, MD 21209-2012
Mailing Address1400 Coppermine TerBaltimore, MD 21209-2012 · (443) 279-1777
Organization SubpartNo
Authorized OfficialWendy A QuitasolOwner/office Manager · (443) 279-1777
Enumeration DateJuly 30, 2006
Last NPPES UpdateNovember 28, 2016
✔ NPI 1164437828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1400 COPPERMINE TER, Baltimore, MD 21209

Other Identifiers 3

Medicare ID-Type Unspecified860LMD · Medicare Number
Medicare UPIN1841228855MD
Medicare UPIN1316977127

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Body Physical Therapy & Wellness Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20060822000602Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mind Body Physical Therapy & Wellness Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1780700070
1400 COPPERMINE TER
Baltimore, MD 21209
(443) 873-0040
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1841228855
1400 COPPERMINE TER
Baltimore, MD 21209
(443) 279-1777
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1891228615
401 WOODFORD RD
Baltimore, MD 21212
(443) 858-0679
✔ Accepts Medicare3.6 mi
Physical Therapist in Private Practice
NPI 1003694209
1838 GREENE TREE RD STE 290
Baltimore, MD 21208
(410) 653-9813
✔ Accepts Medicare4.1 mi
Physical Therapist in Private Practice
NPI 1457415036
9492 DEERECO RD MEGAN RICH PHYSICAL THERAPY
Timonium, MD 21093
(410) 653-3881
✔ Accepts Medicare4.7 mi
Physical Therapist in Private Practice
NPI 1427135433
4130 E JOPPA RD STE 112
Baltimore, MD 21236
(410) 529-4400
✔ Accepts Medicare9.6 mi
Physical Therapist in Private Practice
NPI 1891127783
3718B NORRISVILLE RD
Jarrettsville, MD 21084
(410) 692-9180
✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Physical Therapy & Wellness Center, Inc.'s NPI number?

The NPI number for Mind Body Physical Therapy & Wellness Center, Inc. is 1164437828. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Mind Body Physical Therapy & Wellness Center, Inc. located?

Mind Body Physical Therapy & Wellness Center, Inc. is located at 1400 Coppermine Ter Terrace, Baltimore, MD 21209. The listed phone number is (443) 279-1777.

What is Mind Body Physical Therapy & Wellness Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mind Body Physical Therapy & Wellness Center, Inc. enrolled in Medicare?

Yes. Mind Body Physical Therapy & Wellness Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Mind Body Physical Therapy & Wellness Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mind Body Physical Therapy & Wellness Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Mind Body Physical Therapy & Wellness Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind Body Physical Therapy & Wellness Center, Inc. was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.