Individual provider Active NPI

Michael Wells, P.T., D.P.T

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1043314503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21512 Issued in MD
Practice address
2661 Riva Rd
BLDG 600, Suite 601
Annapolis, MD 21401-7353
Phone
(410) 266-6626
Fax
(410) 266-3026
NPI assigned
Sep 12, 2006
Sex
Male
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 21512 MD Primary

Addresses

Primary practice location

2661 Riva Rd
BLDG 600, Suite 601
Annapolis, MD 21401-7353

Mailing address

1555 Sallowfield Court
Crofton, MD 21114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000022 MD Practitioner - Physical Therapist in Private Practice 2466610183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2 WS LLCGroup PAC ID 4183877277, 5 clinicians
Annapolis Family Physical Therapy, IncGroup PAC ID 9032255401, 8 clinicians

Practice addresses (Care Compare)

156 Ritchie Hwy
Suite 100
Severna Park, MD 21146-1132
Phone (410) 544-2422

2006 Industrial Dr
Annapolis, MD 21401-2942
Phone (410) 266-7174

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
83.55
Improvement activities
40
Cost
68.8

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2 WS LLC CurrentSince May 11, 2012 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2020 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Jul 18, 2005 Accepting new patients

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

2661 Riva Rd
Ste 601
Annapolis, MD 21401
Phone (410) 266-6626

2006 Industrial Dr
Annapolis, MD 21401
Phone (410) 266-7174

156 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 279-0654

Organizations & group practices 3

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043314503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SALLOWFIELD COURT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD",
            "address_2": "BLDG 600, SUITE 601",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017353",
            "telephone_number": "410-266-6626",
            "fax_number": "410-266-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • 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.