Healthcare Provider Details

I. General information

NPI: 1205655404
Provider Name (Legal Business Name): INTEGRATED HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PAINTERS MILL RD STE 206
OWINGS MILLS MD
21117-5251
US

IV. Provider business mailing address

742 LEISTER DR
LUTHERVILLE TIMONIUM MD
21093-7418
US

V. Phone/Fax

Practice location:
  • Phone: 906-360-9507
  • Fax:
Mailing address:
  • Phone: 410-525-4959
  • Fax: 410-525-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MAYUR GOLI
Title or Position: OWNER
Credential: PT
Phone: 906-360-9507