Active NPI
Eleanor Marie Mouser, P.T.
- Physical Therapist
- Sykesville, MD
National Provider Identifier
1255665139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16075
- Practice address
- 7309 2ND Ave
Sykesville, MD 21784-7531 - Phone
- (410) 549-6728
- NPI assigned
- Sep 25, 2009
- 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 | 16075 | MD | Primary |
Addresses
Primary practice location
7309 2ND Ave
Sykesville, MD 21784-7531
Mailing address
5046 Freter Rd
Sykesville, MD 21784-9307
Phone (410) 795-0455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16075 | Other | MD | MARYLAND BOARD OF PHYSICAL THERAPY EXAMINERS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16075 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1255665139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5046 FRETER RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217849307",
"telephone_number": "410-795-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 2ND AVE",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847531",
"telephone_number": "410-549-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSER",
"first_name": "ELEANOR",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHYSICAL THERAPY EXAMINERS",
"identifier": "16075",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.