Individual provider Active NPI

Amber Carpen, P.T.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1245346360
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21354 Issued in MD
Practice address
701 King Farm Blvd
Rockville, MD 20850-6165
Phone
(240) 499-9042
Fax
(301) 947-3293
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30062 CA
Physical Therapist 225100000X 21354 MD Primary

Addresses

Primary practice location

701 King Farm Blvd
Rockville, MD 20850-6165

Mailing address

157 Baltimore St Ste 200
Cumberland, MD 21502-2472
Phone (301) 722-3215

Other practice location 1

23602 Via Fabricante
Mission Viejo, CA 92691-3143
Phone (949) 215-8957

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
30062CAMDPhysical Therapist
21354MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Management Services, Inc. Physical Therapist Past Accepting new patients
Restorative Therapy Associates 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1245346360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 200",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 KING FARM BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506165",
            "telephone_number": "240-499-9042",
            "fax_number": "301-947-3293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23602 Via Fabricante",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926913143",
            "country_code": "US",
            "telephone_number": "949-215-8957",
            "fax_number": "949-768-3758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPEN",
        "first_name": "AMBER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30062",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.