Active NPI
Patricia L Ponce, DPT,OSC,SCS,ATC,CSCS
- Physical Therapist
- Lutherville, MD
National Provider Identifier
1184789133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21138
- Practice address
- 2328 W Joppa Rd
Suite 300
Lutherville, MD 21093-4612 - Phone
- (410) 938-8660
- Fax
- (410) 938-8664
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21138 | MD | Primary |
Addresses
Primary practice location
2328 W Joppa Rd
Suite 300
Lutherville, MD 21093-4612
Mailing address
6905 Yale Rd
Middle River, MD 21220-1050
Phone (410) 335-9883
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 |
|---|---|---|---|
| 21138 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184789133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 YALE RD",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212201050",
"telephone_number": "410-335-9883",
"fax_number": "410-938-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 W JOPPA RD",
"address_2": "SUITE 300",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934612",
"telephone_number": "410-938-8660",
"fax_number": "410-938-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "DPT,OSC,SCS,ATC,CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.