Healthcare Provider Details

I. General information

NPI: 1659232130
Provider Name (Legal Business Name): BUILT BY BRITT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6818 LENBERN RD
BALTIMORE MD
21207-4129
US

IV. Provider business mailing address

6818 LENBERN RD
BALTIMORE MD
21207-4129
US

V. Phone/Fax

Practice location:
  • Phone: 443-629-7396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BRITTANY DARNELL BALLENTINE
Title or Position: DIRECTOR
Credential: PT, DPT
Phone: 443-629-7396