Active NPI
Tamara Evette Johnson
- Physical Medicine & Rehabilitation Physician
- Oxon Hill, MD
National Provider Identifier
1174700413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20141
- Practice address
- 6196 Oxon Hill Rd
Suite 430
Oxon Hill, MD 20745-3100 - Phone
- (301) 567-1678
- Fax
- (301) 567-2728
- NPI assigned
- Jan 29, 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 Medicine & Rehabilitation Physician | 208100000X | 20141 | MD | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2305202035 | VA |
Addresses
Primary practice location
6196 Oxon Hill Rd
Suite 430
Oxon Hill, MD 20745-3100
Mailing address
PO Box 79586
Baltimore, MD 21279-3100
Phone (301) 567-1678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
930 E Swan Creek Rd
Fort Washington, MD 20744-5250
Phone (301) 805-5006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20141 | MD | MD | Pharmacist |
| 2305202035 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Pro Physical Therapy South LLC | Current | Accepting new patients | |
| Hamid R Quraishi MD & Shannaz H Quraishi MD PA | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
930 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-9400
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.
-
dba Oxon Hill Orthopaedics
- Orthopaedic Surgery Physician
- Oxon Hill, MD
- NPI 1376726521
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1174700413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79586",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212793100",
"telephone_number": "301-567-1678",
"fax_number": "301-567-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD",
"address_2": "SUITE 430",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453100",
"telephone_number": "301-567-1678",
"fax_number": "301-567-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAMARA",
"middle_name": "EVETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "20141",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2305202035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.