Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Activate Body Potential, Inc

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1225629215

Activate Body Potential, Inc is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Baltimore, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2010 Clipper Park Rd Ste 115
Baltimore, MD 21211-1439
Phone: (410) 235-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1225629215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Supik — President / Founder · (443) 562-7814
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021
Mailing address2010 Clipper Park Rd Ste 115, Baltimore, MD 21211-1439

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