Elliott L Jermyn, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

20355 Issued in MD

Practice address

6500 Rock Spring Dr
Suite 100
Bethesda, MD 20817-1105

Phone

(301) 564-6022

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Chiropractic CenterGroup PAC ID 4486794609, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Chiropractic Center

  • Sports Physician Chiropractor
  • Herndon, VA
  • NPI 1164575056

  DC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275674129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ROCK SPRING DR",
            "address_2": "SUITE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171105",
            "telephone_number": "301-564-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROCK SPRING DR",
            "address_2": "SUITE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171105",
            "telephone_number": "301-564-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMYN",
        "first_name": "ELLIOTT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "20355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald William Jensen, M.D.
• Janet Jensen, P.T.
• Maxwell Jensen, MD
• Robert T Jensen, M.D.
• Valerie Ellen Jensen, R.PH.
• Theresa Donohue Jerussi, MS, PA-C
• Nele Jessel, MD
• Jessica Gottlieb LCPC, LLC
• Kimberly Ann Jessie, PH.D.
• Monica Andrea Jessup, DPM

• Specialist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.