Dejan Jelovac

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2875 Issued in MD

Practice address

10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865

Phone

(410) 356-6161

NPI assigned

Oct 15, 2008

Last updated

Aug 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1245482884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 HEATHERS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363836",
            "telephone_number": "410-828-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD STE B215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461865",
            "telephone_number": "410-356-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELOVAC",
        "first_name": "DEJAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toshia M Jefferson, PT
• Jeffrey L. Morer, OD, PC
• John Sheppard Jeffreys, ED.D.
• Olufunmilayo Bolanle Jegede
• Jej Clinical Therapeutic Services LLC
• Jem Comprehensive
• Paula Jemes, PHARMD
• Breanna Jenkins
• Deardrey Jenkins
• Debra Inez Jenkins, LCSW-C

• Physical Therapy Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.