Individual provider Active NPI

Eric James Lawrence, DPT

  • Physical Therapist
  • Cumberland, MD
National Provider Identifier
1306125679
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23766 Issued in MD
Practice address
11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502-5139
Phone
(301) 729-3485
Fax
(301) 729-0158
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 23766 MD Primary

Addresses

Primary practice location

11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502-5139

Mailing address

11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502-5139
Phone (301) 729-3485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000419 MD Practitioner - Physical Therapist in Private Practice 9335313832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staggers, Heare and Whiteman, P.a.Group PAC ID 3678465259, 13 clinicians

Practice addresses (Care Compare)

11801 Upper Potomac Indstrl Park St
Cumberland, MD 21502-5139
Phone (301) 729-3485

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502-5139

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Staggers Heare & Whiteman PA Physical Therapist CurrentSince Oct 10, 2011 Accepting new patients
Staggers, Heare, & Whiteman, P.a. Physical Therapist CurrentSince Oct 10, 2011 Accepting new patients
Select Medical of Maryland Inc Physical Therapist Past Accepting new patients

Locations

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502
Phone (301) 729-3485

Organizations & group practices 4

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1306125679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 UPPER POTOMAC INDUSTRIAL PARK STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 UPPER POTOMAC INDUSTRIAL PARK STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025139",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.