Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

115 East Melrose Avenue Operations LLC

Organization Physical Therapist · NPI 1235583600

115 East Melrose Avenue Operations LLC provides Physical Therapist services in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 E Melrose Ave
Baltimore, MD 21212-2945
Phone: (410) 435-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30044 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 30044 (MD)

Record details

NPI number1235583600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (505) 468-4752
Other names Long Green Center
NPI enumeratedApril 21, 2016
Last updated in NPPESSeptember 7, 2017
Mailing address115 E Melrose Ave, Baltimore, MD 21212-2945

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