Active NPI
Michael Robert Jansen, P.T.
- Physical Therapist
- Salisbury, MD
National Provider Identifier
1326250895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19274
- Practice address
- 1001 Mt. Hermon Road
Salisbury, MD 21804 - Phone
- (410) 543-7550
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 19274 | MD | Primary |
Addresses
Primary practice location
1001 Mt. Hermon Road
Salisbury, MD 21804
Mailing address
202 Kinsdale Court
Salisbury, MD 21804
Phone (410) 334-3816
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 |
|---|---|---|---|
| 19274 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326250895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 KINSDALE COURT",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-334-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MT. HERMON ROAD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-543-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.