Individual provider Active NPI

Rebecca Spiker

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1336505676
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28767 Issued in MD
Practice address
1834 George Ave
Annapolis, MD 21401-4103
Phone
(443) 441-0631
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A0000877 MD
Physical Therapist 225100000X 28767 MD Primary

Addresses

Primary practice location

1834 George Ave
Annapolis, MD 21401-4103

Mailing address

1222 Juniper St
Shady Side, MD 20764-9219
Phone (410) 474-8475

Other practice location 1

8076 Windward Key Dr
Chesapeake Beach, MD 20732-3185
Phone (410) 934-4028

Other names 1

  • Ms. Rebecca Mae Johnson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000122 MD Practitioner - Physical Therapist in Private Practice 7416349170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

1834 George Ave
Annapolis, MD 21401-4103
Phone (443) 441-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0000877MDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients
Felice Physical Therapy Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1834 George Ave
Annapolis, MD 21401
Phone (410) 740-2155

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: rebecca.spiker.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1336505676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 JUNIPER ST",
            "city": "SHADY SIDE",
            "state": "MD",
            "postal_code": "207649219",
            "telephone_number": "410-474-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 GEORGE AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014103",
            "telephone_number": "443-441-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8076 Windward Key Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake Beach",
            "state": "MD",
            "postal_code": "207323185",
            "country_code": "US",
            "telephone_number": "410-934-4028",
            "fax_number": "410-609-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIKER",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000877",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JOHNSON",
            "middle_name": "MAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.