Individual provider Active NPI

Elizabeth Anne Reicherter, D.P.T.

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1023024155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19183 Issued in MD
Practice address
2448 Holly Ave
Suite 200
Annapolis, MD 21401-3148
Phone
(410) 295-4941
Fax
(410) 295-5207
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19183 MD Primary

Addresses

Primary practice location

2448 Holly Ave
Suite 200
Annapolis, MD 21401-3148

Mailing address

2448 Holly Ave
Suite 200
Annapolis, MD 21401-3148
Phone (410) 295-4941

Other identifiers 8

IdentifierTypeStateIssuer
5632510OtherMDFIRST HEALTH NETWORK
756LL516OtherMDRAILROAD MEDICARE
57731OtherMDJOHN HOPKINS HEALTHCARE
5632510OtherMDCCN NETWORK
T6710019OtherMDBLUECROSS BLUESHIELD DC
620676-16OtherMDBLUECROSS BLUESHIELD MD
703242OtherMDNCPPO
2530149OtherMDUNITED HEALTHCARE

Other names 1

  • Miss Elizabeth Anne Rura Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19183MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Forum of Maryland, LLC PastSince Feb 18, 2024 Accepting new patients
Fitness Forum of Maryland, LLC Physical Therapist PastSince Jun 30, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023024155",
    "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": "REICHERTER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "5632510",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "756LL516",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS HEALTHCARE",
            "identifier": "57731",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK",
            "identifier": "5632510",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD DC",
            "identifier": "T6710019",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD MD",
            "identifier": "620676-16",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "703242",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2530149",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RURA",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.