OrganizationActive
Fredericks Sport and Spine Clinic Inc
NPI 1841204823 · Orthopedic Physical Therapist · Frederick, MD
Provider details
- NPI number
- 1841204823
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- C Gooding, Credentialling Officer(301) 662-8541
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
84 Thomas Johnson Ct
Suite B
Frederick, MD 21702-4348
Phone: (301) 662-8541
Fax: (301) 662-8762
Street-level locationGet directions
Mailing address
84 Thomas Johnson Ct
Frederick, MD 21702-4348
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2014-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.