Healthcare Provider Details
I. General information
NPI: 1710250303
Provider Name (Legal Business Name): KLAFF SPORTS PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2012
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1726 REISTERSTOWN RD STE 111
BALTIMORE MD
21208-2986
US
IV. Provider business mailing address
2410 SYLVALE RD
BALTIMORE MD
21209-1539
US
V. Phone/Fax
- Phone: 443-595-7848
- Fax:
- Phone: 443-621-5961
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | A3646 |
| License Number State | MD |
VIII. Authorized Official
Name: MR.
ADAM
KLAFF
Title or Position: PRESIDENT
Credential: PTA
Phone: 443-802-1161