Individual provider Active NPI

Mitchell Stanley, DPT

  • Physical Therapist
  • Arnold, MD
National Provider Identifier
1114156056
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22939 Issued in MD
Practice address
1454 Baltimore Annapolis Blvd FL 2
Arnold, MD 21012-2455
Phone
(410) 650-2802
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 22939 MD Primary

Addresses

Primary practice location

1454 Baltimore Annapolis Blvd FL 2
Arnold, MD 21012-2455

Mailing address

1454 Baltimore Annapolis Blvd FL 2
Arnold, MD 21012-2455
Phone (410) 650-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1454 Baltimore Annapolis Blvd
Arnold, MD 21012-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22939MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arpella Health Physical Therapist CurrentSince Jan 14, 2024 Accepting new patients

Locations

1454 Baltimore Annapolis Blvd
#2
Arnold, MD 21012
Phone (410) 650-2802

Organizations & group practices 1

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1114156056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 BALTIMORE ANNAPOLIS BLVD FL 2",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122455",
            "telephone_number": "410-650-2802",
            "fax_number": "410-956-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 BALTIMORE ANNAPOLIS BLVD FL 2",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122455",
            "telephone_number": "410-650-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MITCHELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2023-12-12",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.