Active NPI
Amy Elizabeth Pannell, DPT
- Physical Therapist
- Germantown, MD
National Provider Identifier
1154577179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22998
- Practice address
- 20500 Seneca Meadows Pkwy
Germantown, MD 20876-7008 - Phone
- (301) 916-8500
- Fax
- (301) 528-6258
- NPI assigned
- Aug 11, 2008
- 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 | J10002401 | DE | |
| Physical Therapist | 225100000X | 22998 | MD | Primary |
Addresses
Primary practice location
20500 Seneca Meadows Pkwy
Germantown, MD 20876-7008
Mailing address
20500 Seneca Meadows Pkwy
Germantown, MD 20876-7008
Phone (301) 916-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239917ZD6T | Other | MEDICARE PTAN |
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 |
|---|---|---|---|
| 22998 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
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": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1154577179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 SENECA MEADOWS PKWY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767008",
"telephone_number": "301-916-8500",
"fax_number": "301-528-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20500 SENECA MEADOWS PKWY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767008",
"telephone_number": "301-916-8500",
"fax_number": "301-528-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNELL",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "239917ZD6T",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.