Individual provider Active NPI

Felecia Leshelle Patterson, DPT

  • Orthopedic Physical Therapist
  • Bowie, MD
National Provider Identifier
1093039604
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
22964 Issued in MD
Practice address
3060 Mitchellville Rd
Suite 217
Bowie, MD 20716-1389
Phone
(301) 461-0785
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 22964 MD Primary

Addresses

Primary practice location

3060 Mitchellville Rd
Suite 217
Bowie, MD 20716-1389

Mailing address

3060 Mitchellville Rd
Suite 217
Bowie, MD 20716-1389
Phone (301) 461-0785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000140 DC Practitioner - Physical Therapist in Private Practice 6608907795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22964MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Services, LLC Orthopedic CurrentSince Aug 11, 2022 Accepting new patients
Proflex Physical Therapy of Maryland, LLC PastSince Jan 25, 2016 Accepting new patients
Sports Pro Physical Therapy LLC PastSince Jul 15, 2008 Accepting new patients

Locations

9135 Piscataway Rd
Ste 305
Clinton, MD 20735
Phone (301) 856-4803

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1093039604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 217",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-461-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 217",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-461-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "FELECIA",
        "middle_name": "LESHELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "22964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.