Individual provider Active NPI

Emily Katherine Wunder, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1164094132
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28500 Issued in MD
Practice address
1420 Clarkview Rd
Baltimore, MD 21209-2104
Phone
(443) 213-0395
NPI assigned
Jul 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 28500 MD Primary

Addresses

Primary practice location

1420 Clarkview Rd
Baltimore, MD 21209-2104

Mailing address

11350 Executive Plaza IV Rd Ste LL12
Hunt Valley, MD 21031-8997
Phone (443) 213-0395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213000849 MD Practitioner - Physical Therapist in Private Practice 6800286576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peake Physical Therapy IncGroup PAC ID 8628216041, 15 clinicians

Practice addresses (Care Compare)

11350 McCormick Rd
Hunt Valley, MD 21031-1002
Phone (410) 527-1794

130 W Ridgely Rd
Suite 3B
Timonium, MD 21093-5114
Phone (443) 247-3414

1420 Clarkview Rd
Baltimore, MD 21209-2104
Phone (443) 213-0395

515 E Joppa Rd
Suite 100
Towson, MD 21286-1804
Phone (443) 841-7027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28500MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peake Physical Therapy Inc Physical Therapist CurrentSince Oct 29, 2021 Accepting new patients
Rehabilitation Resources of Maryland, Inc. Physical Therapist PastSince Feb 8, 1995 Accepting new patients

Locations

1420 Clarkview Rd
Baltimore, MD 21209
Phone (410) 258-4721

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

11350 McCormick Rd
Ste LL12
Hunt Valley, MD 21031
Phone (410) 527-1794

11350 McCormick Ep 4 Rd
Ste LL12
Hunt Valley, MD 21031
Phone (410) 527-1794

11350 McCormick Rd
#12
Hunt Valley, MD 21031
Phone (410) 527-1794

3338 Paper Mill Rd
Phoenix, MD 21131
Phone (410) 628-7011

515 E Joppa Rd
Ste 100
Towson, MD 21286
Phone (410) 337-0938

Organizations & group practices 2

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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1164094132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 EXECUTIVE PLAZA IV RD STE LL12",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318997",
            "telephone_number": "443-213-0395",
            "fax_number": "443-973-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092104",
            "telephone_number": "443-213-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.