Active NPI
Jacquelin Landsman, MPT
- Physical Therapist
- Abingdon, MD
National Provider Identifier
1306037627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18869
- Practice address
- Upper Chesapeake Orthopedics: Center for Sports Med
101 Walter Ward Blvd
Abingdon, MD 21009 - Phone
- (443) 643-1801
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 18869 | MD | Primary |
Addresses
Primary practice location
Upper Chesapeake Orthopedics: Center for Sports Med
101 Walter Ward Blvd
Abingdon, MD 21009
Mailing address
1109 Volos CT
Bel Air, MD 21015-2019
Phone (410) 420-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18869 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1306037627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 VOLOS CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210152019",
"telephone_number": "410-420-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UPPER CHESAPEAKE ORTHOPEDICS: CENTER FOR SPORTS MED",
"address_2": "101 WALTER WARD BLVD",
"city": "ABINGDON",
"state": "MD",
"postal_code": "21009",
"telephone_number": "443-643-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSMAN",
"first_name": "JACQUELIN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.