Individual provider Active NPI

Sophie Jean Jones, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1083997514
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23798 Issued in MD
Practice address
210 E Centre St
Baltimore, MD 21202-3619
Phone
(410) 659-5990
Fax
(410) 659-5993
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 23798 MD Primary

Addresses

Primary practice location

210 E Centre St
Baltimore, MD 21202-3619

Mailing address

8107 Duvall Ave
Baltimore, MD 21237-2819
Phone (443) 564-3693

Other names 1

  • Sophie Jean Reed Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114001227 MD Practitioner - Physical Therapist in Private Practice 9234479791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Sports Medicine and Rehabilitation LLCGroup PAC ID 4385787910, 25 clinicians

Practice addresses (Care Compare)

519 Bayview Blvd
Baltimore, MD 21224-2825
Phone (443) 335-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23798MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine and Rehabilitation LLC CurrentSince Sep 22, 2019 Accepting new patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Sep 22, 2019 Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC Current Accepting new patients

Locations

1393 Progress Way
Ste 907
Eldersburg, MD 21784
Phone (410) 549-4960

1364 Martin Blvd
Ste 5
Middle River, MD 21220
Phone (410) 686-3600

Organizations & group practices 3

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1083997514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 DUVALL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372819",
            "telephone_number": "443-564-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CENTRE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023619",
            "telephone_number": "410-659-5990",
            "fax_number": "410-659-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SOPHIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "REED",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 21, 2011; 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.