Individual provider Active NPI

Jerod Michael Felice, PT

  • Physical Therapist
  • Hunt Valley, MD
National Provider Identifier
1205097292
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11270 Pepper Rd
Hunt Valley, MD 21031-1202
Phone
(315) 408-8341
NPI assigned
Jun 23, 2008
Last updated
Jul 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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 NU Primary

Addresses

Primary practice location

11270 Pepper Rd
Hunt Valley, MD 21031-1202

Mailing address

2982 Beacon Dr
Manchester, MD 21102-1798
Phone (315) 408-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000097 MD Practitioner - Physical Therapist in Private Practice 4284792466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22634MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Felice Physical Therapy Physical Therapist CurrentSince Jan 3, 2016 Accepting new patients
Felice Physical Therapy PastSince Jun 12, 2022 Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients
Felice Physical Therapy Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

11270 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 771-1500

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: jerod.felice.1@8042.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1205097292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 BEACON DR",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021798",
            "telephone_number": "315-408-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 PEPPER RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311202",
            "telephone_number": "315-408-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICE",
        "first_name": "JEROD",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.