Active NPI
Eleanor K Wang, P.T.
- Physical Therapist
- Towson, MD
National Provider Identifier
1073833349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14365
- Practice address
- 1001 Cromwell Bridge Rd
Towson, MD 21286-3300 - Phone
- (410) 823-0880
- Fax
- (410) 823-7905
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 14365 | MD | Primary |
Addresses
Primary practice location
1001 Cromwell Bridge Rd
Towson, MD 21286-3300
Mailing address
1001 Cromwell Bridge Rd
Towson, MD 21286-3300
Phone (410) 823-0880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14365 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1073833349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CROMWELL BRIDGE RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863300",
"telephone_number": "410-823-0880",
"fax_number": "410-823-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CROMWELL BRIDGE RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863300",
"telephone_number": "410-823-0880",
"fax_number": "410-823-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ELEANOR",
"middle_name": "K",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.