Active NPI
Tara Lynn Cepaitis, PHYSICAL THERAPIST
- Orthopedic Physical Therapist
- Olney, MD
National Provider Identifier
1104869932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 19507
- Practice address
- 17904 Georgia Avenue
Suite 215
Olney, MD 20832 - Phone
- (301) 232-1050
- Fax
- (301) 232-1044
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19507 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 19507 | MD | Primary |
Addresses
Primary practice location
17904 Georgia Avenue
Suite 215
Olney, MD 20832
Mailing address
17904 Georgia Avenue
Suite 215
Olney, MD 20832
Phone (301) 232-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17904 Georgia Ave
Suite 215
Olney, MD 20832-2277
Phone (301) 232-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19507 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L. Higgins, M.D., P.C. | Current | Accepting new patients | |
| James R. Clarke, P.T.,P.a. | Physical Therapist | Past | Accepting new patients |
Locations
17904 Georgia Ave
Ste 215
Olney, MD 20832
Phone (301) 232-1050
11820 Parklawn Dr
Ste 180
Rockville, MD 20852
Phone (301) 770-1306
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 and National Provider Directory roles.
-
- Physical Therapist
- Rockville, MD
- NPI 1306999701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381104000000",
"number": "1104869932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17904 GEORGIA AVENUE",
"address_2": "SUITE 215",
"city": "OLNEY",
"state": "MD",
"postal_code": "20832",
"telephone_number": "301-232-1050",
"fax_number": "310-232-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17904 GEORGIA AVENUE",
"address_2": "SUITE 215",
"city": "OLNEY",
"state": "MD",
"postal_code": "20832",
"telephone_number": "301-232-1050",
"fax_number": "301-232-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPAITIS",
"first_name": "TARA",
"middle_name": "LYNN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2013-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19507",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "19507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centrepointe Counseling, Inc.
- Sumy Chacko, PA-C
- Monica Parekh Chandran, DMD, MS
- Samer C Charbel, M.D.
- Charity Hearts Healthcare Inc
- Charity Hearts Healthcare Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.