Active NPI
Tammy McEnerney
- Physical Therapist
- Potomac, MD
National Provider Identifier
1154469476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21118
- Practice address
- 10220 River Rd
Potomac, MD 20854-4916 - Phone
- (301) 299-0648
- Fax
- (301) 299-0649
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21118 | MD | Primary |
Addresses
Primary practice location
10220 River Rd
Potomac, MD 20854-4916
Mailing address
501 Fairmount Ave Ste 302
Towson, MD 21286-5494
Phone (410) 927-8768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21118 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1154469476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FAIRMOUNT AVE STE 302",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865494",
"telephone_number": "410-927-8768",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 RIVER RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544916",
"telephone_number": "301-299-0648",
"fax_number": "301-299-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENERNEY",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.