Healthcare Provider Details

I. General information

NPI: 1114883998
Provider Name (Legal Business Name): BALTIMORE INJURY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756 WASHINGTON BLVD
BALTIMORE MD
21230-2332
US

IV. Provider business mailing address

409 WASHINGTON AVE STE 900
TOWSON MD
21204-4905
US

V. Phone/Fax

Practice location:
  • Phone: 410-444-1400
  • Fax:
Mailing address:
  • Phone: 410-494-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: FREDDIE J. TRAUB
Title or Position: ATTORNEY
Credential: J.D.
Phone: 410-494-0100