Healthcare Provider Details

I. General information

NPI: 1356295273
Provider Name (Legal Business Name): FULL SPEED PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E CLEMENT ST
BALTIMORE MD
21230-4511
US

IV. Provider business mailing address

114 E CLEMENT ST
BALTIMORE MD
21230-4511
US

V. Phone/Fax

Practice location:
  • Phone: 410-458-0647
  • Fax:
Mailing address:
  • Phone: 410-458-0647
  • Fax:

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: MELISSA LAMBIASI
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 410-458-0647