Jeffrey Blake Newman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3034 Issued in MD

Practice address

205 Armstrong St
Centreville, MD 21617-2125

Phone

(410) 758-2323

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1346479144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ARMSTRONG ST",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172125",
            "telephone_number": "410-758-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ARMSTRONG ST",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172125",
            "telephone_number": "410-758-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JEFFREY",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3034",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jean Mollen, OTR/L
• Karen Monroe, FNP-C, PMHNP-C
• Lori Moore, R.N
• April Lyn Motovidlak, CRNP
• New Wave in Home Medical Care
• Novus Pain Management - Maryland, LLC
• Stephanie Renee O'Brien, PTA
• Carrie Lee O'Connor, LGSW
• Sherri J Oetzel
• Chloe Oneill, ADT

• Physical Therapy Assistant in Centreville, MD
• Providers in Centreville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.