Active NPI
Julie Anna Flaherty, MPT
- Physical Therapist
- White Hall, MD
National Provider Identifier
1205183274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24102
- Practice address
- 4105 Norrisville Rd Unit 7
White Hall, MD 21161-9308 - Phone
- (410) 692-2941
- Fax
- (410) 692-6073
- NPI assigned
- Aug 9, 2012
- Last updated
- May 19, 2020
- 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 | 24102 | MD | Primary |
Addresses
Primary practice location
4105 Norrisville Rd Unit 7
White Hall, MD 21161-9308
Mailing address
PO Box 179
Forest Hill, MD 21050-0179
Other practice location 1
2304 E Churchville Rd
Bel Air, MD 21015-1721
Phone (410) 734-6556
Other names 1
- Julie Anna Shahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Sports Rehabilitation and Physical Therapy, LLC | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
dba Agape Physical Therapy and Sports Rehabilitation
- Physical Therapist
- Forest Hill, MD
- NPI 1366457095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1205183274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210500179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 NORRISVILLE RD UNIT 7",
"city": "WHITE HALL",
"state": "MD",
"postal_code": "211619308",
"telephone_number": "410-692-2941",
"fax_number": "410-692-6073"
}
],
"practiceLocations": [
{
"address_1": "2304 E Churchville Rd",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210151721",
"country_code": "US",
"telephone_number": "410-734-6556",
"fax_number": "410-734-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAHERTY",
"first_name": "JULIE",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "SHAHAN",
"middle_name": "ANNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in White Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.