Active NPI
Stephen Douglas Felton, PT
- Physical Therapist
- Westernport, MD
National Provider Identifier
1255677407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24338
- Practice address
- 21907 Westernport Rd SW
Westernport, MD 21562-2234 - Phone
- (301) 786-4171
- Fax
- (717) 635-3377
- NPI assigned
- Dec 17, 2012
- Last updated
- Dec 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24338 | MD | Primary |
| Physical Therapist | 225100000X | 2369 | WV |
Addresses
Primary practice location
21907 Westernport Rd SW
Westernport, MD 21562-2234
Mailing address
21907 Westernport Rd SW
Westernport, MD 21562-2234
Phone (301) 786-4171
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 |
|---|---|---|---|
| 2369 | WV | MD | General Practice Dentistry |
| 24338 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Medical of Maryland Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Cumberland, MD
- NPI 1275535940
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1255677407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21907 WESTERNPORT RD SW",
"city": "WESTERNPORT",
"state": "MD",
"postal_code": "215622234",
"telephone_number": "301-786-4171",
"fax_number": "717-635-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21907 WESTERNPORT RD SW",
"city": "WESTERNPORT",
"state": "MD",
"postal_code": "215622234",
"telephone_number": "301-786-4171",
"fax_number": "717-635-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTON",
"first_name": "STEPHEN",
"middle_name": "DOUGLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24338",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "2369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westernport, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.