Provider Demographics
NPI:1538583646
Name:TO THE CORE PHYSICAL THERAPY & CONDITIONING, LLC
Entity type:Organization
Organization Name:TO THE CORE PHYSICAL THERAPY & CONDITIONING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-967-4691
Mailing Address - Street 1:200 E JOPPA RD STE LL102
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3105
Mailing Address - Country:US
Mailing Address - Phone:410-967-4691
Mailing Address - Fax:443-773-1423
Practice Address - Street 1:200 E JOPPA RD STE LL102
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3105
Practice Address - Country:US
Practice Address - Phone:410-967-4691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD866386OtherUNITED HEALTHCARE MEDICARE SOLUTIONS
MD866386OtherSTRATOSE
MD866386OtherONENET PPO
MD866386OtherMAMSI
MD213321OtherJOHNS HOPKINS EMPLOYER HEALTH PROGRAMS
MD866386OtherUHC NAVIGATE
MD866386OtherOPTUM HEALTHCARE SOLUTIONS
MD213321OtherJOHNS HOPKINS HEALTHCARE
MD5025605OtherCIGNA
MD9611947OtherAETNA
MDAN03OtherCAREFIRST BCBS
MD866386OtherUHC OF THE MID-ATLANTIC- MD