Janelle Kristen Antonio, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

22482 Issued in MD

Practice address

107 Chesapeake Blvd
Suite 100
Elkton, MD 21921-6390

Phone

(410) 392-9400

Fax

(410) 392-0577

NPI assigned

Feb 6, 2008

Last updated

Sep 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oplr LLC

  dba Lotus Rehabilitation

  • Physical Therapist
  • Middletown, DE
  • NPI 1073271987
  NPD Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1013195619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHESAPEAKE BLVD",
            "address_2": "SUITE 100",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216390",
            "telephone_number": "410-392-9400",
            "fax_number": "410-392-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESAPEAKE BLVD",
            "address_2": "SUITE 100",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216390",
            "telephone_number": "410-392-9400",
            "fax_number": "410-392-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "JANELLE",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "22482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Elkton, MD
• Providers in Elkton, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.