Individual provider Active NPI

W James Downs Jr., PT PA

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1386723625
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14588 Issued in MD
Practice address
406 Marvel CT
Easton, MD 21601-4052
Phone
(410) 822-4613
Fax
(410) 822-6534
NPI assigned
Nov 6, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J10000300 DE
Physical Therapist 225100000X 14588 MD Primary
Clinical Electrophysiology Physical Therapist 2251E1300X J10000300 DE
Clinical Electrophysiology Physical Therapist 2251E1300X 14588 MD

Addresses

Primary practice location

406 Marvel CT
Easton, MD 21601-4052

Mailing address

406 Marvel CT
Easton, MD 21601-4087
Phone (410) 822-4613

Other identifiers 2

IdentifierTypeStateIssuer
0000220726MedicaidDE
435138000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120711000124 MD Practitioner - Physical Therapist in Private Practice 6800880774 Reassigns benefits to 1 organization
I20120711000345 DE Practitioner - Physical Therapist in Private Practice 6800880774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14588MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
W James Downs Jr PT PA Electrophysiology, Clinical CurrentSince Jul 1, 2001 Accepting new patients
Tidewater Physical Therapy and Rehabilitation Associates, P.a. Physical Therapist PastSince Apr 1, 2004 Accepting new patients

Locations

230 Beiser Blvd
Ste 100
Dover, DE 19904
Phone (302) 730-0840

10 Georgetown Plz
Georgetown, DE 19947
Phone (302) 856-2446

300 Health Services Dr
Unit 302
Seaford, DE 19973

808 Middleford Rd
Ste 78
Seaford, DE 19973

406 Marvel Ct
Easton, MD 21601
Phone (240) 375-8918

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1386723625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014087",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014052",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "W",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14588",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "DE",
            "license": "J10000300",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "MD",
            "license": "14588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000220726",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.