OPAL PHYSICAL THERAPY, LLC
NPI 1255173183
Clinic/Center - Physical Therapy in Severna Park, MD
About Opal Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPAL PHYSICAL THERAPY, LLC (NPI 1255173183), doing business as Encore Physical Therapy, is a healthcare organization registered as a physical therapy in Severna Park, Maryland and active in the NPI registry since June 2024. The organization lists Laura Liberatore Tallman, Owner/physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Opal Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Opal Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Opal Physical Therapy, LLC's NPI number?
The NPI number for Opal Physical Therapy, LLC is 1255173183. It was assigned to this organization in the NPPES registry on June 11, 2024. The provider was formerly known as Encore Physical Therapy.
Where is Opal Physical Therapy, LLC located?
Opal Physical Therapy, LLC is located at 770 Ritchie Hwy Ste W23&w24, Severna Park, MD 21146. The listed phone number is (443) 906-1510.
What is Opal Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Opal Physical Therapy, LLC enrolled in Medicare?
Yes. Opal Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Opal Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Opal Physical Therapy, LLC. 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, 5 practice 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 Opal Physical Therapy, LLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Opal Physical Therapy, Llc · NPI 1255173183
Physical Therapy organization in Severna Park, Maryland. Organization record, active in the CMS NPPES registry since June 11, 2024.
## Identity
- **NPI:** 1255173183 (Entity type: Organization)
- **Enumerated:** June 11, 2024
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Also known as:** Encore Physical Therapy (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Laura Tallman, OWNER/PHYSICAL THERAPIST
## Practice location
- **Address:** 770 RITCHIE HWY STE W23&W24, Severna Park, MD 21146-4149
- **Phone:** (443) 906-1510 · **Fax:** (443) 906-1511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255173183) · Data from the CMS NPPES public registry.