Individual provider Active NPI

Orah Gholian, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1003694209
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29652 Issued in MD
Practice address
1838 Greene Tree Rd Ste 290
Baltimore, MD 21208-7108
Phone
(410) 653-9813
NPI assigned
Sep 19, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29652 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 290
Baltimore, MD 21208-7108

Mailing address

1838 Greene Tree Rd Ste 290
Baltimore, MD 21208-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000696 MD Practitioner - Physical Therapist in Private Practice 7012364532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Body Physical Therapy and Wellness Center, Inc.Group PAC ID 2567465099, 5 clinicians

Practice addresses (Care Compare)

1400 Coppermine Ter
Baltimore, MD 21209-2012
Phone (443) 279-1777

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29652MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Physical Therapy & Wellness Center, Inc. Physical Therapist CurrentSince Sep 12, 2024 Accepting new patients

Locations

1400 Coppermine Ter
Baltimore, MD 21209
Phone (443) 279-1777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1003694209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 290",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 290",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "410-653-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLIAN",
        "first_name": "ORAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.