Jeremy Wayne Cugle, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20643 Issued in MD

Practice address

2448 Holly Ave
Suite 200
Annapolis, MD 21401-3148

Phone

(410) 295-4941

Fax

(410) 295-5207

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infanti Chiropractic, Inc.Group PAC ID 2769642461, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Infanti Chiropractic, Inc.

  dba Chiro 1st Chiropractic

  • Chiropractor
  • Annapolis, MD
  • NPI 1326312687
  Medicare reassignment Care Compare group NPD
• Ergonomically Correct LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1043217524
  NPD (past)
• Fitness Forum of Maryland, LLC

  • Occupational Therapist
  • Annapolis, MD
  • NPI 1821853441
  NPD (past)
• Spine and Sport Annapolis LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1346774718
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1023010857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 HOLLY AVE",
            "address_2": "SUITE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013148",
            "telephone_number": "410-295-4941",
            "fax_number": "410-295-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 HOLLY AVE",
            "address_2": "SUITE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013148",
            "telephone_number": "410-295-4941",
            "fax_number": "410-295-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUGLE",
        "first_name": "JEREMY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "212822",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH",
            "identifier": "6100992",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2431344",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK",
            "identifier": "5536592",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "2228952",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00247396",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "T6710010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD MD",
            "identifier": "618243-05",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CAPITAL PPO",
            "identifier": "624853",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodell E Cruise Jr., M.D.
• Lori Crum-Sweely
• Cso Voice Annapolis LLC
• Amber Marie Cubbage, NP
• Jennifer Ann Cudzilo, MSPT
• Jennifer Lynn Cuhran, M.D.
• Barry J Cukor, MD
• Ashley Cullen, FNP-C
• Kay Cullen, LCSW-C
• Kristen Cullen

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.