Individual provider Active NPI

Amelia Gabrielle Munro

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1043022411
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T18544 Issued in MD
Practice address
7165 Columbia Gateway Dr Ste a
Columbia, MD 21046-2145
Phone
(443) 441-0616
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 T18544 MD Primary

Addresses

Primary practice location

7165 Columbia Gateway Dr Ste a
Columbia, MD 21046-2145

Mailing address

7421 Swan Point Way Apt Suite
Columbia, MD 21045-5056
Phone (443) 834-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260406002376 WA Practitioner - Physical Therapist in Private Practice 7618442831 Reassigns benefits to 1 organization
I20260417003441 MD Practitioner - Physical Therapist in Private Practice 7618442831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 Cherry Ave
Bremerton, WA 98310-4202
Phone (360) 792-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T18544MDMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: amelia.munro.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1043022411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 SWAN POINT WAY APT SUITE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455056",
            "telephone_number": "443-834-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 COLUMBIA GATEWAY DR STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462145",
            "telephone_number": "443-441-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNRO",
        "first_name": "AMELIA",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "T18544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.