Healthcare Provider Details

I. General information

NPI: 1548131238
Provider Name (Legal Business Name): THERAPYMI, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 CRESCENT RIDGE DR
WHITE MARSH MD
21162-1149
US

IV. Provider business mailing address

5620 CRESCENT RIDGE DR
WHITE MARSH MD
21162-1149
US

V. Phone/Fax

Practice location:
  • Phone: 443-962-8994
  • Fax:
Mailing address:
  • Phone: 443-962-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. MARISON MAGNO MENDOZA
Title or Position: PT
Credential: PT/CMTPT/DN
Phone: 443-850-0475