Active NPI
Bonnie Faye Schulman, PT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1265449599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15354
- Practice address
- 1501 Sulgrave Ave
Suite 307
Baltimore, MD 21209-3654 - Phone
- (410) 542-6878
- Fax
- (410) 542-6928
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 15354 | MD | Primary |
Addresses
Primary practice location
1501 Sulgrave Ave
Suite 307
Baltimore, MD 21209-3654
Mailing address
1501 Sulgrave Ave
Suite 307
Baltimore, MD 21209-3654
Phone (410) 542-6878
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132804 | Other | MD | AETNA HMO |
| 5001453 | Other | MD | AETNA MANAGED CARE |
| R718-0001 | Other | DC | BLUE CROSS/BLUE SHIELD |
| J782 | Other | MD | BLUE CROSS/BLUE SHIELD |
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 |
|---|---|---|---|
| 15354 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265449599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE",
"address_2": "SUITE 307",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093654",
"telephone_number": "410-542-6878",
"fax_number": "410-542-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE",
"address_2": "SUITE 307",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093654",
"telephone_number": "410-542-6878",
"fax_number": "410-542-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULMAN",
"first_name": "BONNIE",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "15354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2132804",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA MANAGED CARE",
"identifier": "5001453",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "R718-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "J782",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.