Active NPI
Rhouxan Ibasco
- Physical Therapist
- Sykesville, MD
National Provider Identifier
1336706647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26426
- Practice address
- 7200 Third Ave
Sykesville, MD 21784-5201 - Phone
- (443) 300-4047
- NPI assigned
- May 22, 2019
- Sex
- Female
- 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 | 26426 | MD | Primary |
Addresses
Primary practice location
7200 Third Ave
Sykesville, MD 21784-5201
Mailing address
9600 Groveton Cir Apt T08
Owings Mills, MD 21117-8328
Phone (443) 447-9768
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26426 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1336706647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 GROVETON CIR APT T08",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211178328",
"telephone_number": "443-447-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 THIRD AVE",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217845201",
"telephone_number": "443-300-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBASCO",
"first_name": "RHOUXAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "26426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.