Individual provider Active NPI

Mary Amanda Dunyak, D.P.T.

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1306408257
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27552 Issued in MD
Practice address
2118 Greenspring Dr
Timonium, MD 21093-3112
Phone
(410) 512-5820
Fax
(410) 512-5859
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 27552 MD
Physical Therapist 225100000X 27552 MD Primary

Addresses

Primary practice location

2118 Greenspring Dr
Timonium, MD 21093-3112

Mailing address

2118 Greenspring Dr
Timonium, MD 21093-2065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806003575 MD Practitioner - Physical Therapist in Private Practice 1759618242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27552MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jul 8, 2019 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jul 8, 2019 Accepting new patients

Locations

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1306408257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933112",
            "telephone_number": "410-512-5820",
            "fax_number": "410-512-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNYAK",
        "first_name": "MARY",
        "middle_name": "AMANDA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "27552",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.