Melissa Wohlberg, PT, DPT, RY200

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22484 Issued in MD

Practice address

1700 Reisterstown Rd Ste 109
Pikesville, MD 21208-2978

Phone

(410) 908-5595

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa Wohl Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Breathe Free Physical Therapy & Yoga, LLC

  • Physical Therapy Clinic/Center
  • Pikesville, MD
  • NPI 1851990360

  Physical Therapist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1336747930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 109",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082978",
            "telephone_number": "410-908-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 109",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082978",
            "telephone_number": "410-908-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLBERG",
        "first_name": "MELISSA",
        "credential": "PT, DPT, RY200",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MD",
            "license": "22484",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WOHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenyana Winston
• Wired Differently Therapy LLC
• Wise Minds Supportive Services
• Shawn Wise
• Milan Wister, M.D.
• Bertha Nyagaya Wojnarski, DNP, FNP-BC, MPH
• Etaferahu Woldeyes
• Isabella Faith Wolf
• Marcia Debra Wolf, M.D.
• Sarah Wolf

• Physical Therapist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.