SOURCE PHYSIOTHERAPY LLC
NPI 1316510282
Clinic/Center - Physical Therapy in Cockeysville, MD

Active since July 20, 2021
10155 YORK RD STE 205-206, COCKEYSVILLE, MD 21030(443) 355-8891 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2024, Jul 20, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Physical Therapy

About SOURCE PHYSIOTHERAPY LLC

This page provides the complete NPI Profile along with additional information for Source Physiotherapy Llc, a provider established in Cockeysville, Maryland operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1316510282 assigned on July 2021. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Emmannouil Lagogiannis Pt, Msc (Physiotherapist)

NPI
1316510282 Verify this NPI
Provider Name
SOURCE PHYSIOTHERAPY LLC
Entity Type
Organization
Location Address
10155 YORK RD STE 205-206 COCKEYSVILLE, MD 21030
Location Phone
(443) 355-8891
Mailing Address
14 HILLSYDE CT COCKEYSVILLE, MD 21030
Mailing Phone
(443) 355-8891
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2021
Last Update Date
07-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EMMANNOUIL LAGOGIANNIS PT, MSC

Authorized Official Title
PHYSIOTHERAPIST
Authorized Official Phone
(443) 355-8891

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
10155 YORK RD STE 205-206
COCKEYSVILLE, MD 21030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316510282, enumerated as an "organization" on July 20, 2021.

The provider is located at 10155 YORK RD STE 205-206 COCKEYSVILLE, MD 21030 and the phone number is (443) 355-8891.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.