Individual provider Active NPI

Alyse Friedman, PT

  • Orthopedic Physical Therapist
  • Lutherville, MD
National Provider Identifier
1255338661
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
16873 Issued in MD
Practice address
1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone
(410) 321-0377
Fax
(410) 821-7517
NPI assigned
Jun 30, 2005
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 16873 MD
Orthopedic Physical Therapist 2251X0800X 16873 MD Primary

Addresses

Primary practice location

1212 York Rd
Suite C-101
Lutherville, MD 21093-6240

Mailing address

1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone (410) 321-0377

Other identifiers 3

IdentifierTypeStateIssuer
472317OtherMDMAMSI
074734300MedicaidMD
P00202713OtherMDMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000103 MD Practitioner - Physical Therapist in Private Practice 3375539174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mady and Mules, PAGroup PAC ID 4587563754, 4 clinicians

Practice addresses (Care Compare)

1212 York Rd
C101
Lutherville, MD 21093-6285
Phone (410) 321-0377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16873MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mady and Mules, PA CurrentSince Oct 30, 2000 Accepting new patients
Mady and Mules, PA PastSince Oct 30, 2000 Accepting new patients

Locations

7672 Belair Rd
Baltimore, MD 21236
Phone (410) 633-6450

1212 York Rd
Ste C101
Lutherville Timonium, MD 21093
Phone (410) 321-0377

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1255338661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE C-101",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-321-0377",
            "fax_number": "410-821-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE C-101",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-321-0377",
            "fax_number": "410-821-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ALYSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "16873",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "16873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "472317",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074734300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00202713",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.