Isabellle Grace Wynn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27934 Issued in MD

Practice address

201 E University Pkwy
Baltimore, MD 21218-2829

Phone

(410) 554-2000

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1154062693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GREENLEAF RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 Greenspring Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210933112",
            "country_code": "US",
            "telephone_number": "410-252-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ISABELLLE",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Wylie, C.S.-P.
• Wyman Park ASC Series
• Chet I Wyman, MD
• Jacob Wynes, DPM
• Henry Thomas Wynn Jr., PA-C
• Zachary Raymond Wynne, MD
• Kelly A Wypych, PA-C
• Gerald Martin Wyse
• Deneen Theresa Wysocki, LCSW-C
• Ashley Manami Wysong, MD, MA

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.