NPIMap

Individual provider Active NPI

Jamie Alyssa Berenson, DPT

  • Orthopedic Physical Therapist
  • Annapolis, MD
National Provider Identifier
1194765727
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
21570 Issued in MD
Practice address
116 Defense Hwy
Suite 101
Annapolis, MD 21401-7027
Phone
(410) 897-0120
Fax
(410) 897-9399
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 21570 MD Primary

Addresses

Primary practice location

116 Defense Hwy
Suite 101
Annapolis, MD 21401-7027

Mailing address

109 Stone Point Drive
Apt. 258
Annapolis, MD 21401-7027
Phone (410) 891-0120

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
21570MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Orthopedic Past Accepting new patients
All-Access Physical Therapy-Metrowest Inc. PastSince Aug 1, 2007 Accepting new patients

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1194765727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STONE POINT DRIVE",
            "address_2": "APT. 258",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-891-0120",
            "fax_number": "410-897-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-0120",
            "fax_number": "410-897-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSON",
        "first_name": "JAMIE",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "21570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.