Active NPI
Pamela Eichelberger
- Physical Therapist
- Glen Burnie, MD
National Provider Identifier
1386052959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16794
- Practice address
- 7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060 - Phone
- (410) 766-3460
- NPI assigned
- Jul 28, 2014
- Last updated
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16794 | MD | Primary |
Addresses
Primary practice location
7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060
Mailing address
7109 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-2054
Phone (240) 841-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16794 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1386052959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 BALTIMORE ANNAPOLIS BLVD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612054",
"telephone_number": "240-841-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7355 E FURNACE BRANCH RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607060",
"telephone_number": "410-766-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHELBERGER",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.