Mary Christine Fillius Boddicker, PT, DPT, PRPC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

46135 N Greens Rest Dr
Great Mills, MD 20634-3065

Phone

(302) 382-0607

NPI assigned

Apr 10, 2008

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Calverthealth Medical Center, Inc.

  dba CalvertHealth Outpatient Rehabilitation Prince Frederick

  • Physical Therapy Clinic/Center
  • Prince Frederick, MD
  • NPI 1558718668

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Calverthealth Medical Center, Inc.

  dba CalvertHealth Outpatient Rehabilitation Dunkirk

  • Physical Therapy Clinic/Center
  • Dunkirk, MD
  • NPI 1578910683

  Physical Therapist

  NPD
• Calverthealth Medical Center, Inc.

  dba CalvertHealth Medical Center

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1053584912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46135 N GREENS REST DR",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206343065",
            "telephone_number": "302-382-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46135 N GREENS REST DR",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206343065",
            "telephone_number": "302-382-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDICKER",
        "first_name": "MARY CHRISTINE",
        "middle_name": "FILLIUS",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, PRPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol M Arthur, ED.S.
• Mary Yvonne Ayers, PH.D., LCSW-C
• Gilberta Campbell
• Capital Foot & Ankle Care Centre PA
• Catherine Carroll-Parker, PH.D., LCSW-C
• Peggy Clinton, LCPC
• Victoria Marie Cutchember, GMA

• Physical Therapist in Great Mills, MD
• Providers in Great Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.