Active NPI
Nicholas William Hummel, DPT
- Physical Therapist
- Odenton, MD
National Provider Identifier
1083524557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17739-24
- Practice address
- 1106 Annapolis Rd Ste 120
Odenton, MD 21113-1738 - Phone
- (443) 481-1140
- NPI assigned
- Sep 8, 2026
- 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 | 17739-24 | WI | Primary |
Addresses
Primary practice location
1106 Annapolis Rd Ste 120
Odenton, MD 21113-1738
Mailing address
167 Edmund Dr
Green Bay, WI 54302-5202
Phone (920) 883-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1083524557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 EDMUND DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543025202",
"telephone_number": "920-883-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 ANNAPOLIS RD STE 120",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131738",
"telephone_number": "443-481-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "NICHOLAS",
"middle_name": "WILLIAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17739-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.