Paul Paulo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21159 Issued in MD

Practice address

11901 Georgia Ave
Wheaton, MD 20902-2001

Phone

(301) 962-4506

NPI assigned

Feb 12, 2020

Sex

Male

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1508133661
  Medicare reassignment Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bethesda, MD
  • NPI 1588013155

  DC

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1053943571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-962-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-962-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULO",
        "first_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oncology Care Associates, P.a
• Eric Alfred Oristian, M.D.
• Pain Relief Chiropractic
• Masum V Patel, PHARM. D
• Mona G Patel, PHARM.D.
• Pearle Vision Wheaton
• Pediatric Associates
• Noel Vetticad Pesce, MD
• Peter a Winkelman, DDS,PA
• Phan Eyecare LLC

• Physical Therapist in Wheaton, MD
• Providers in Wheaton, 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 12, 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.