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Fredericks Sport and Spine Clinic Inc

Orthopedic Physical Therapist in Frederick, MD · enumerated 2006 · authorized official C Gooding, Credentialling Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841204823

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Registry record

Entity type Organization (Type 2)
Legal business name Fredericks Sport and Spine Clinic Inc
Practice address 84 Thomas Johnson Ct, Suite B, Frederick, MD, 21702
Fax (301) 662-8762
Enumeration date Jul 28, 2006
Last updated in NPPES Jun 4, 2014

Taxonomy & classification

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name C Gooding
Title Credentialling Officer

Other identifiers

Identifier Type State Issuer
147719000 Other MD DEPT OF LABOR
551810 Other MD MAMSI
123M Other MD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fredericks Sport and Spine Clinic Inc?
Fredericks Sport and Spine Clinic Inc is registered in NPPES as a Orthopedic Physical Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-04.