Active NPI
Julie Egleston
- Physical Therapist
- Eldersburg, MD
National Provider Identifier
1023675345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21273
- Practice address
- 1388 Progress Way
Eldersburg, MD 21784-6463 - Phone
- (410) 795-7878
- Fax
- (410) 795-7879
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 21273 | MD | Primary |
Addresses
Primary practice location
1388 Progress Way
Eldersburg, MD 21784-6463
Mailing address
PO Box 179
Forest Hill, MD 21050-0179
Phone (410) 838-9600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21273 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1023675345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210500179",
"telephone_number": "410-838-9600",
"fax_number": "410-795-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388 PROGRESS WAY",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846463",
"telephone_number": "410-795-7878",
"fax_number": "410-795-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLESTON",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.