Jodi Lynn Pandullo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21202 Issued in MD

Practice address

1600 Crain Hwy S
Suite 302
Glen Burnie, MD 21061-5577

Phone

(410) 768-1213

Fax

(410) 768-1203

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McNerney and Associates PAGroup PAC ID 4082682539, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• McNerney & Associates, P.a.

  • Physical Therapy Clinic/Center
  • Ellicott City, MD
  • NPI 1992830392

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maryland Physical Therapy

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1831295856
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346346186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9284 CHRISTO CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173589",
            "telephone_number": "410-356-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-768-1213",
            "fax_number": "410-768-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDULLO",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen M Paige, AUD
• Ashley Nicole Palestis
• Raghunatha Reddy Pallerla
• Stephen B Pallett, AU.D.
• Palm Dental Associates
• Manjiri M Pansare, M.D.
• Celia Parada-Worby, CNS
• Kenneth L Pardoe, PA
• Parents' Place of Maryland, Inc.
• Park Dental

• Physical Therapist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physical Therapist in Maryland

• 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.
• 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.