Individual provider Active NPI

Edwin J Joyner II

  • Physical Therapist
  • Ijamsville, MD
National Provider Identifier
1013259159
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24380 Issued in MD
Practice address
3280 Urbana Pike
Suite 202
Ijamsville, MD 21754-9406
Phone
(301) 874-2226
Fax
(301) 874-5955
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 24380 MD Primary

Addresses

Primary practice location

3280 Urbana Pike
Suite 202
Ijamsville, MD 21754-9406

Mailing address

3280 Urbana Pike
Suite 202
Ijamsville, MD 21754-9406
Phone (301) 874-2226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416000371 DC Practitioner - Physical Therapist in Private Practice 3678710027

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Performance TherapyGroup PAC ID 7113332610, 3 clinicians

Practice addresses (Care Compare)

4980 Wyaconda Rd
Rockville, MD 20852-2468
Phone (301) 298-9868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24380MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Performance Therapy Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients

Locations

11512 Schuylkill Rd
Rockville, MD 20852
Phone (240) 678-3399

4980 Wyaconda Rd
Ste Ab
Rockville, MD 20852
Phone (301) 298-9868

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1013259159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 202",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549406",
            "telephone_number": "301-874-2226",
            "fax_number": "301-874-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 202",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549406",
            "telephone_number": "301-874-2226",
            "fax_number": "301-874-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "EDWIN",
        "middle_name": "J",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ijamsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.