Active NPI
Ellen Waxman Levy, PT
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1205909975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15626
- Practice address
- 4954 N Palmer Rd RM 3349
Bethesda, MD 20889-0001 - Phone
- (301) 295-6372
- NPI assigned
- Nov 17, 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 | 15626 | MD | Primary |
Addresses
Primary practice location
4954 N Palmer Rd RM 3349
Bethesda, MD 20889-0001
Mailing address
4954 N Palmer Rd BLDG 19
Bethesda, MD 20889-5630
Phone (301) 295-6372
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 |
|---|---|---|---|
| 15626 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald J. Tempchin, P.T. | Physical Therapist | Past | Accepting new patients |
| Suburban/NRH Medical Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c2a9aaad-29f4-4d5d-87b0-388c13a9b433/
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.
-
- Physical Therapist
- Bethesda, MD
- NPI 1932278843
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1205909975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4954 N PALMER RD BLDG 19",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895630",
"telephone_number": "301-295-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4954 N PALMER RD RM 3349",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ELLEN",
"middle_name": "WAXMAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2024-04-12",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "15626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.