Active NPI
Anne Haile, P.T.
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1053539601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16024
- Practice address
- 41 Old Solomons Island Rd
Suite 101
Annapolis, MD 21401-3853 - Phone
- (410) 647-7326
- Fax
- (410) 774-5175
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 16024 | MD | Primary |
Addresses
Primary practice location
41 Old Solomons Island Rd
Suite 101
Annapolis, MD 21401-3853
Mailing address
116 Amesbury Court
Severna Park, MD 21146
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA8X | Other | MEDICARE SUFFIX | |
| 134652 | Other | MD | PTAN |
| 134653ZA8X | Other | MD | GROUP MEMBER PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081020000150 | MD | Practitioner - Physical Therapist in Private Practice | 9032287818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16024 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annapolis Lymphedema Center | Physical Therapist | Past | Accepting new patients |
| Physical Therapy for Women and Children | Physical Therapist | Past | 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.
-
- Physical Therapist
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- Arnold, MD
- NPI 1013074814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1053539601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 AMESBURY COURT",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 OLD SOLOMONS ISLAND RD",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013853",
"telephone_number": "410-647-7326",
"fax_number": "410-774-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "ANNE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUFFIX",
"identifier": "ZA8X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "134652",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEMBER PROVIDER #",
"identifier": "134653ZA8X",
"state": "MD"
}
],
"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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.