Active NPI
Jennifer S Nieberlein, PT
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1255680328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23295
- Practice address
- 2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742 - Phone
- (410) 295-8900
- Fax
- (410) 280-4701
- NPI assigned
- Sep 5, 2012
- 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 | 23295 | MD | Primary |
Addresses
Primary practice location
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Mailing address
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Phone (410) 295-8900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23295 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1255680328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-295-8900",
"fax_number": "410-280-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-295-8900",
"fax_number": "410-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEBERLEIN",
"first_name": "JENNIFER",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.