Individual provider Active NPI

Elizabeth A Stadler, PT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1073634150
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22155 Issued in MD
Practice address
8726 Town and Country Blvd Ste 102
Ellicott City, MD 21043-3061
Phone
(443) 879-9195
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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 22155 MD Primary

Addresses

Primary practice location

8726 Town and Country Blvd Ste 102
Ellicott City, MD 21043-3061

Mailing address

3116 River Drive Rd
Sparrows Point, MD 21219-1106
Phone (443) 879-9195

Other practice location 1

9256 Bendix Rd Ste 105106
Columbia, MD 21045-1840
Phone (443) 879-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22155MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Pelvic Health, LLC CurrentSince Apr 20, 2025 Accepting new patients
Indigo Roland Park LLC Physical Therapist CurrentSince May 24, 2024 Accepting new patients

Locations

6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075
Phone (410) 799-7227

8726 Town and Country Blvd
Ste 102
Ellicott City, MD 21043
Phone (443) 879-9195

3060 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (571) 275-8808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1073634150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 RIVER DRIVE RD",
            "city": "SPARROWS POINT",
            "state": "MD",
            "postal_code": "212191106",
            "telephone_number": "443-879-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 TOWN AND COUNTRY BLVD STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433061",
            "telephone_number": "443-879-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9256 Bendix Rd Ste 105106",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451840",
            "country_code": "US",
            "telephone_number": "443-879-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADLER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.