Individual provider Active NPI

Joshua Oscar Wach, DPT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1174996953
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27380 Issued in MD
Practice address
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone
(240) 850-2002
Fax
(240) 850-2003
NPI assigned
Nov 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 27380 MD Primary

Addresses

Primary practice location

17301 Valley Mall Rd
Hagerstown, MD 21740-6966

Mailing address

129 N Duncan St
Baltimore, MD 21231-1638
Phone (347) 545-0405

Other practice location 1

701 Edmondson Ave
Catonsville, MD 21228
Phone (410) 747-7425

Other practice location 2

1887 Bathgate Ave
Bronx, NY 10457-6216
Phone (718) 466-3580

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

LicenseStateTypeSpecialty
27380MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients

Locations

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

17301 Valley Mall Rd
Hagerstown, MD 21740
Phone (240) 850-2002

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1174996953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N DUNCAN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311638",
            "telephone_number": "347-545-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 VALLEY MALL RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406966",
            "telephone_number": "240-850-2002",
            "fax_number": "240-850-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Edmondson Ave",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "21228",
            "country_code": "US",
            "telephone_number": "410-747-7425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1887 Bathgate Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104576216",
            "country_code": "US",
            "telephone_number": "718-466-3580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACH",
        "first_name": "JOSHUA",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.