Individual provider Active NPI

Jeffrey W Wright, PT

  • Physical Therapist
  • Fort Washington, MD
National Provider Identifier
1275737512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11013 John Paul Jones Ave
Ft Washington, MD 20744-4162
Phone
(301) 292-1758
Fax
(301) 292-1759
NPI assigned
Jun 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD Primary

Addresses

Primary practice location

11013 John Paul Jones Ave
Ft Washington, MD 20744-4162

Mailing address

11013 John Paul Jones Ave
Ft Washington, MD 20744-4162
Phone (301) 292-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231209000070 DC Practitioner - Physical Therapist in Private Practice 7810058724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ergo Occmed, LLCGroup PAC ID 1759564115, 3 clinicians

Practice addresses (Care Compare)

6196 Oxon Hill Rd
Suite 120
Oxon Hill, MD 20745-3138
Phone (301) 567-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17009MDMDGeneral Practice Dentistry
54-1533276MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ergo Occmed LLC Physical Therapist CurrentSince Oct 15, 2023 Accepting new patients

Locations

1160 Varnum St NE
Ste 300
Washington, DC 20017
Phone (202) 269-7528

6196 Oxon Hill Rd
Ste 120
Oxon Hill, MD 20745
Phone (301) 529-7479

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275737512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11013 JOHN PAUL JONES AVE",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444162",
            "telephone_number": "301-292-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11013 JOHN PAUL JONES AVE",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444162",
            "telephone_number": "301-292-1758",
            "fax_number": "301-292-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, 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.
  • 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.