Individual provider Active NPI

Jeffrey Alan Torockio, P.T.

  • Physical Therapist
  • Marriottsville, MD
National Provider Identifier
1164503546
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17480 Issued in MD
Practice address
2470 Longstone LN Ste K
Marriottsville, MD 21104-1515
Phone
(410) 442-2470
Fax
(410) 442-2476
NPI assigned
Oct 18, 2006
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17480 MD Primary
Sports Physical Therapist 2251S0007X 17480 MD
Orthopedic Physical Therapist 2251X0800X 17480 MD

Addresses

Primary practice location

2470 Longstone LN Ste K
Marriottsville, MD 21104-1515

Mailing address

7116 Tulip CT
Eldersburg, MD 21784-5960
Phone (443) 271-6299

Other practice location 1

10030 Baltimore National Pike Ste D180
Ellicott City, MD 21042-3686
Phone (410) 644-1880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000340 MD Practitioner - Physical Therapist in Private Practice 3476651126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

1311 S Main St
Suite 301
Mount Airy, MD 21771-5464
Phone (301) 607-9096

2470 Longstone LN
Suite K
Marriottsville, MD 21104-1515
Phone (410) 442-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17480MDMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

11810 W Market Pl
Fulton, MD 20759
Phone (301) 458-0523

2470 Longstone Ln
Ste K
Marriottsvl, MD 21104
Phone (410) 442-2470

1311 S Main St
Ste 301
Mount Airy, MD 21771
Phone (301) 607-9096

405 N Center St
Ste 28
Westminster, MD 21157

731 Baltimore Blvd
Westminster, MD 21157
Phone (410) 848-8628

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1164503546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 TULIP CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845960",
            "telephone_number": "443-271-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 LONGSTONE LN STE K",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041515",
            "telephone_number": "410-442-2470",
            "fax_number": "410-442-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10030 Baltimore National Pike Ste D180",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423686",
            "country_code": "US",
            "telephone_number": "410-644-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOROCKIO",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17480",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "17480",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "17480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marriottsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.