Healthcare Provider Details

I. General information

NPI: 1730699018
Provider Name (Legal Business Name): ESTERSON AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W ROLLING XRDS STE 100-102
BALTIMORE MD
21228-6211
US

IV. Provider business mailing address

2 W ROLLING XRDS STE 100-102
BALTIMORE MD
21228-6211
US

V. Phone/Fax

Practice location:
  • Phone: 410-747-1600
  • Fax:
Mailing address:
  • Phone: 410-747-1600
  • Fax: 410-747-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number21182
License Number StateMD

VIII. Authorized Official

Name: JAMIN PAREZO
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 410-747-1600