Active NPI
Lora Jean Stutzman, DPT
- Physical Therapist
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22605
- Practice address
- 3179 Braverton St
Suite 212
Edgewater, MD 21037-2665 - Phone
- (202) 782-6371
- Fax
- (410) 956-8038
- NPI assigned
- Oct 8, 2008
- Last updated
- Jul 12, 2010
- 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 | 22605 | MD | Primary |
Addresses
Primary practice location
3179 Braverton St
Suite 212
Edgewater, MD 21037-2665
Mailing address
8601 Veterans Hwy
Suite 212
Millersville, MD 21108-1547
Phone (410) 987-2162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1132 Annapolis Rd
Suite 101
Odenton, MD 21113-1672
Phone (410) 874-1707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Bayside Physical Therapy and Sports Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
1132 Annapolis Rd
Ste 101
Odenton, MD 21113
Phone (410) 672-8091
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
- Physical Therapist
- Millersville, MD
- NPI 1417009408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1386895365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 VETERANS HWY",
"address_2": "SUITE 212",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081547",
"telephone_number": "410-987-2162",
"fax_number": "410-987-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3179 BRAVERTON ST",
"address_2": "SUITE 212",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372665",
"telephone_number": "202-782-6371",
"fax_number": "410-956-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZMAN",
"first_name": "LORA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.