Candice D Coombs, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

21687 Issued in MD

Practice address

120 Hospital Road and Calvert Physical Therapy
Suite 100
Prince Frederick, MD 20678

Phone

(410) 414-4791

Fax

(410) 414-4765

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: candice.coombs.p3@direct.cvr.nextgenshare.com

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.

• Calvert Physical Therapy and Sports Fitness Ctr.

  • Physical Therapist
  • Prince Frederick, MD
  • NPI 1780724617
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417045147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 WINDERMERE LN",
            "city": "NEWBURG",
            "state": "MD",
            "postal_code": "206642206",
            "telephone_number": "410-414-4791",
            "fax_number": "410-414-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL ROAD AND CALVERT PHYSICAL THERAPY",
            "address_2": "SUITE 100",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-414-4791",
            "fax_number": "410-414-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "CANDICE",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "21687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Conn
• Brian Michael Connolly, MD
• Christina Gabriel Connolly
• Vincent Constantino
• Kirk Conway, PT
• John Lawrence Cooper
• Danielle Glenn Corbin, AU.D.
• Coralia Cordero
• Cornerstone Montgomery, Inc.
• Cornerstone Montgomery, Inc.

• Specialist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.