Individual provider Active NPI

Emily Sue Wood, DPT

  • Physical Therapist
  • Sparks, MD
National Provider Identifier
1063767986
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24100 Issued in MD
Practice address
954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440
Phone
(443) 212-5745
Fax
(443) 212-5749
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 24100 MD Primary

Addresses

Primary practice location

954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440

Mailing address

954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440
Phone (443) 212-5745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000441 MD Practitioner - Physical Therapist in Private Practice 6608022199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparks Physical Therapy, Inc.Group PAC ID 9537582689, 10 clinicians

Practice addresses (Care Compare)

954 Ridgebrook Rd
Suite 310
Sparks Glencoe, MD 21152-9440
Phone (443) 212-5745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24100MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Physical Therapy, Inc. Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Sparks Physical Therapy, Inc. Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients

Locations

954 Ridgebrook Rd
Ste 310
Sparks Glencoe, MD 21152
Phone (443) 212-5745

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1063767986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "EMILY",
        "middle_name": "SUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.