Active NPI
Debra M. Piccirillo
- Speech-Language Pathologist
- Millersville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06835
- Practice address
- 8638 Veterans Hwy
1St Floor
Millersville, MD 21108-1422 - Phone
- (410) 729-4508
- Fax
- (410) 729-4526
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06835 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | 2202003503 | VA |
Addresses
Primary practice location
8638 Veterans Hwy
1St Floor
Millersville, MD 21108-1422
Mailing address
PO Box 15945
Belfast, ME 04915-4054
Phone (410) 729-4508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500208700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28438 Marlboro Ave
Easton, MD 21601-2732
Phone (443) 481-1140
4175 N Hanson Court
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06835 | MD | MD | Speech-Language Pathologist |
| 2202003503 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Current | Accepting new patients | |
| LHMG Physical Therapy, LLC | Current | Accepting new patients | |
| LHMG Physical Therapy, LLC | Current | Accepting new patients |
Locations
161 Jennifer Rd
Ste A
Annapolis, MD 21401
1332 Cape St Claire Rd
Annapolis, MD 21409
Phone (443) 481-5618
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
4175 N Hanson Ct
Ste 304
Bowie, MD 20716
Phone (301) 352-4007
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
1630 Main St
Chester, MD 21619
Phone (410) 604-2555
1630 Main St
Ste 109
Chester, MD 21619
Phone (410) 604-2424
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
70 Central Ave W
Edgewater, MD 21037
Phone (410) 481-1140
1153 State Route 3 N
Ste 35
Gambrills, MD 21054
Phone (410) 216-2200
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813
5801 Allentown Rd
Ste 200
Suitland, MD 20746
Phone (240) 842-1435
7611 Crain Hwy
Ste C170
Upper Marlboro, MD 20772
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1376817908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15945",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154054",
"telephone_number": "410-729-4508",
"fax_number": "410-729-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8638 VETERANS HWY",
"address_2": "1ST FLOOR",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081422",
"telephone_number": "410-729-4508",
"fax_number": "410-729-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIRILLO",
"first_name": "DEBRA",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-29",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06835",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202003503",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500208700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.