Active NPI
Joan Oco-Santos
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1265735906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21854
- Practice address
- 5 Sugar Loaf Court
Apt T-2
Baltimore, MD 21209 - Phone
- (443) 763-1909
- NPI assigned
- Dec 20, 2010
- 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 | 21854 | MD | Primary |
Addresses
Primary practice location
5 Sugar Loaf Court
Apt T-2
Baltimore, MD 21209
Mailing address
5 Sugarloaf CT
Apt T-2
Baltimore, MD 21209-2319
Phone (443) 763-1909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11200 Holter Rd
White Marsh, MD 21162-3429
Phone (443) 763-1909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Physiocare LLC | Physical Therapist | Current | 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 and National Provider Directory roles.
-
- Physical Therapist
- White Marsh, MD
- NPI 1811786585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1265735906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SUGARLOAF CT",
"address_2": "APT T-2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092319",
"telephone_number": "443-763-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SUGAR LOAF COURT",
"address_2": "APT T-2",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "443-763-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCO-SANTOS",
"first_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21854",
"primary": true
}
],
"identifiers": [],
"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 Dec 20, 2010; 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.