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RESILIENT PHYSIOTHERAPY
NPI 1528614690
Physical Medicine & Rehabilitation - Sports Medicine in Baltimore, MD

Active since August 14, 2019
8303 PULASKI HWY, BALTIMORE, MD 21237(717) 817-4308 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Resilient Physiotherapy NPPES

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

RESILIENT PHYSIOTHERAPY (NPI 1528614690) is a healthcare organization registered as a sports medicine in Baltimore, Maryland and active in the NPI registry since August 2019. The organization lists Jordan Shettle, Doctorate Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1528614690
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameRESILIENT PHYSIOTHERAPY
Location Address8303 PULASKI HWYBaltimore, MD 21237-2962
Mailing Address6221 Greenleigh Ave Unit 515Baltimore, MD 21220-2038 · (717) 817-4308
Phone(717) 817-4308
Organization SubpartNo
Authorized OfficialJordan ShettleDoctorate Of Physical Therapy · (717) 817-4308
Enumeration DateAugust 14, 2019
✔ NPI 1528614690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
8303 PULASKI HWY, Baltimore, MD 21237
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Other Identifiers 1

Other1699030262PA · Npi Type 1

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Resilient Physiotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Resilient Physiotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Shettle, DPT
Physical Therapist in Private Practice
NPI 1699030262
8303 PULASKI HWY STE A
Baltimore, MD 21237
(443) 372-5300
✔ Accepts MedicareSame address

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 Resilient Physiotherapy's NPI number?

The NPI number for Resilient Physiotherapy is 1528614690. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Resilient Physiotherapy located?

Resilient Physiotherapy is located at 8303 Pulaski Hwy, Baltimore, MD 21237. The listed phone number is (717) 817-4308.

What is Resilient Physiotherapy's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Resilient Physiotherapy enrolled in Medicare?

Yes. Resilient Physiotherapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Resilient Physiotherapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Resilient Physiotherapy. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Resilient Physiotherapy was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.