Active NPI
Jarrett Myles Shavitz, P.T.
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19723
- Practice address
- 2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-3746 - Phone
- (410) 377-8900
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 19723 | MD | Primary |
Addresses
Primary practice location
2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-3746
Mailing address
2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-3746
Phone (410) 377-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Key Pkwy
Suite 202
Frederick, MD 21702-4551
Phone (240) 813-3597
12800 Middlebrook Rd
Suite 100
Germantown, MD 20874-5204
Phone (301) 235-3031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19723 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Optimum Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
| Optimum Physical Therapy and Wellness, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Specialty Center | Past | Accepting new patients |
Locations
2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
12800 Middlebrook Rd
Ste 100
Germantown, MD 20874
Phone (301) 235-3031
4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484
Organizations & group practices 6
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 Therapy Clinic/Center
- Frederick, MD
- NPI 1538627492
DC, Physical Therapist
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Physical Therapy Clinic/Center
- Germantown, MD
- NPI 1326740440
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1457706897
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1518090851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1063576304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093746",
"telephone_number": "410-377-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093746",
"telephone_number": "410-377-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVITZ",
"first_name": "JARRETT",
"middle_name": "MYLES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.