Jean Mathews, PT – Physical Therapist in Laplata, MD

Key facts

NPI: 1366807166
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 28809 (MD)
Practice address: 52 Drury Drive
Laplata Business Center
Laplata, MD 20646
Phone: (301) 392-1100
NPI assigned: Dec 21, 2015
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Sage Physical Therapy & Wellness LLC Physical Therapy Clinic/Center · Cambridge, MD · NPI 1467757575

Medicare reassignment Care Compare group NPD MD · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Sage Physical Therapy and Wellness LLC (24 clinicians)

Practice addresses (Care Compare)

22599 Macarthur Blvd
Suite 106
California, MD 20619-3081
Phone (301) 737-3400

3536 A Urbana Pike
Frederick, MD 21704-7742
Phone (301) 874-9200

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220628001525	MD	Practitioner - Physical Therapist in Private Practice	6406235043	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
28809	MD	MD	Social Worker
P00373	NY	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Sage Physical Therapy & Wellness LLC	Physical Therapist	Current since Mar 25, 2022	Accepting new patients

Locations

52 Drury Dr
La Plata, MD 20646
Phone (301) 392-1100

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	P00373	NY
Physical Therapist	225100000X	28809	MD	Yes

Addresses

Primary practice location

52 Drury Drive
Laplata Business Center
Laplata, MD 20646

Mailing address

207 Harry S Truman Dr Apt 32
Largo, MD 20774-2053

Other providers in Laplata, MD

All providers in Laplata, MD · Physical Therapist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.