Individual provider Active NPI

Emily Bushman, DPT

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1194378042
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27562 Issued in MD
Practice address
757 Frederick Rd Ste 103
Catonsville, MD 21228-4520
Phone
(410) 719-8661
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 27562 MD Primary

Addresses

Primary practice location

757 Frederick Rd Ste 103
Catonsville, MD 21228-4520

Mailing address

4107 Halifax CT
Glen Arm, MD 21057-9117
Phone (410) 718-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190826000275 MD Practitioner - Physical Therapist in Private Practice 1658609979 Reassigns benefits to 2 organizations
I20190826000534 DC Practitioner - Physical Therapist in Private Practice 1658609979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mady and Mules, PAGroup PAC ID 4587563754, 4 clinicians

Practice addresses (Care Compare)

7672 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Mady and Mules, PA CurrentSince Jan 18, 2021 Accepting new patients
Mady and Mules, PA PastSince Jan 18, 2021 Accepting new patients

Locations

7672 Belair Rd
Baltimore, MD 21236
Phone (410) 633-6450

757 Frederick Rd
Ste 103
Catonsville, MD 21228
Phone (410) 719-8661

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

1212 York Rd
Ste C101
Lutherville Timonium, MD 21093
Phone (410) 321-0377

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

Organizations & group practices 4

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1194378042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 HALIFAX CT",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579117",
            "telephone_number": "410-718-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 FREDERICK RD STE 103",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284520",
            "telephone_number": "410-719-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.