Organization Active NPI

Jesse L B Thurlow PT

  • Physical Therapist
  • Rosedale, MD
National Provider Identifier
1285729343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14532 Issued in MD
Legal business name
JESSE L B THURLOW PT
Practice address
9110 Philadelphia Rd
Suite 100
Rosedale, MD 21237-4323
Phone
(410) 574-4966
Fax
(410) 574-4968
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jesse L B Thurlow, PTNPI 1093770877
Title
Owner
Phone
(410) 574-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 14532 MD Primary

Addresses

Primary practice location

9110 Philadelphia Rd
Suite 100
Rosedale, MD 21237-4323

Mailing address

9110 Philadelphia Rd
Suite 100
Rosedale, MD 21237-4323
Phone (410) 574-4966

Other identifiers 2

IdentifierTypeStateIssuer
42191502OtherMDBCBS MD
D481473OtherMDAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285729343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD",
            "address_2": "SUITE 100",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374323",
            "telephone_number": "410-574-4966",
            "fax_number": "410-574-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD",
            "address_2": "SUITE 100",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374323",
            "telephone_number": "410-574-4966",
            "fax_number": "410-574-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE L B THURLOW PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURLOW",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-574-4966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "42191502",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "D481473",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.