Healthcare Provider Details

I. General information

NPI: 1710855879
Provider Name (Legal Business Name): ALBENIZ CARE THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 BUCKEYSTOWN PIKE STE 350
FREDERICK MD
21704-8373
US

IV. Provider business mailing address

2002 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

V. Phone/Fax

Practice location:
  • Phone: 240-205-7979
  • Fax: 240-415-6084
Mailing address:
  • Phone: 240-205-7979
  • Fax: 240-415-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIA MCCLAURIN
Title or Position: PRESIDENT
Credential:
Phone: 240-205-7979