Healthcare Provider Details

I. General information

NPI: 1265378830
Provider Name (Legal Business Name): SPB MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N CHARLES ST
BALTIMORE MD
21201-5506
US

IV. Provider business mailing address

1130 N CHARLES ST
BALTIMORE MD
21201-5506
US

V. Phone/Fax

Practice location:
  • Phone: 410-685-7790
  • Fax: 410-685-7851
Mailing address:
  • Phone: 410-685-7790
  • Fax: 410-685-7851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICK MURRAY
Title or Position: MANAGER
Credential:
Phone: 240-446-6845