Active NPI
Jerome Clarence Thomas
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1834 George Ave
Annapolis, MD 21401-4103 - Phone
- (443) 441-0631
- NPI assigned
- Nov 6, 2024
- Last updated
- Nov 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1834 George Ave
Annapolis, MD 21401-4103
Mailing address
1030 Spa Rd Apt C
Annapolis, MD 21403-1168
Phone (410) 330-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1834 George Ave
Annapolis, MD 21401-4103
Phone (443) 441-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
1834 George Ave
Annapolis, MD 21401
Phone (410) 740-2155
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- jerome.thomas.1@8042.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1154144301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 SPA RD APT C",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214031168",
"telephone_number": "410-330-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 GEORGE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014103",
"telephone_number": "443-441-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEROME",
"middle_name": "CLARENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.