Active NPI
Alice M Cheung, B.S. IN PHYSICAL THE
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1013240084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20827
- Practice address
- 5330 Dorsey Hall Dr
Ellicott City, MD 21042-7831 - Phone
- (410) 772-5865
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20827 | MD | Primary |
Addresses
Primary practice location
5330 Dorsey Hall Dr
Ellicott City, MD 21042-7831
Mailing address
9695 Basket Ring Rd Apt 4
Columbia, MD 21045-3434
Phone (410) 997-4308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20827 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1013240084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9695 BASKET RING RD APT 4",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453434",
"telephone_number": "410-997-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 DORSEY HALL DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427831",
"telephone_number": "410-772-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "ALICE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "B.S. IN PHYSICAL THE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.