Individual provider Active NPI

Heather D Nitsch, DPT, OCS, CHT

  • Physical Therapist
  • Lutherville, MD
National Provider Identifier
1295875979
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20000 Issued in MD
Practice address
1400 Front Ave
Suite 205
Lutherville, MD 21093-5300
Phone
(410) 823-4263
Fax
(410) 823-1861
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 20000 MD
Physical Therapist 225100000X 20000 MD Primary

Addresses

Primary practice location

1400 Front Ave
Suite 205
Lutherville, MD 21093-5300

Mailing address

676 Hunting Fields Rd
Baltimore, MD 21220-2325
Phone (410) 458-6753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070308000259 MD Practitioner - Physical Therapist in Private Practice 6901909100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20000MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Sep 18, 2017 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Sep 18, 2017 Accepting new patients

Locations

201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326

5 Bel Air South Pkwy
Ste 1421
Bel Air, MD 21015
Phone (410) 337-1112

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1295875979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 HUNTING FIELDS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202325",
            "telephone_number": "410-458-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 205",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-823-4263",
            "fax_number": "410-823-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCH",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "MD",
            "license": "20000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.