Individual provider Active NPI

Michelle Alcantara

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1376820498
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22003 Issued in MD
Practice address
200 Civic Ave
Salisbury, MD 21804-4599
Phone
(410) 749-1466
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22003 MD Primary

Addresses

Primary practice location

200 Civic Ave
Salisbury, MD 21804-4599

Mailing address

301 Mill Pond LN Apt 202
Salisbury, MD 21804-2111
Phone (410) 603-2185

Other identifiers 1

IdentifierTypeStateIssuer
YPPW15166227OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190920001948 DC Practitioner - Physical Therapist in Private Practice 7416287214 Reassigns benefits to 2 organizations
I20201204000653 MD Practitioner - Physical Therapist in Private Practice 7416287214

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14510 Sourgum Rd
Boyds, MD 20841-0110
Phone (240) 716-1672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22003MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabneeds Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
MCS Physical Therapy Physical Therapist PastSince May 1, 2025 Accepting new patients
Virginia Home Therapy LLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients
Optimal Physical Therapy Sports and Wellness Center,LLC Physical Therapist PastSince Apr 14, 2024 Accepting new patients

Locations

2401 Research Blvd
Ste 101
Rockville, MD 20850
Phone (240) 480-4553

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1376820498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MILL POND LN APT 202",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042111",
            "telephone_number": "410-603-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CIVIC AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044599",
            "telephone_number": "410-749-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "YPPW15166227",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.