Individual provider Active NPI

Elizabeth Dickens Turner, MPT

  • Physical Therapist
  • Mechanicsville, MD
National Provider Identifier
1417066408
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
28103 Three Notch Rd
Mechanicsville, MD 20659-3294
Phone
(301) 290-5090
Fax
(301) 290-5091
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22415 MD
Athletic Trainer 2255A2300X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

28103 Three Notch Rd
Mechanicsville, MD 20659-3294

Mailing address

28103 Three Notch Rd
Mechanicsville, MD 20659-3294
Phone (301) 290-5090

Other practice location 1

4470 Regency Place
Suite 100
White Plains, MD 20695-3055
Phone (301) 645-6680

Other identifiers 3

IdentifierTypeStateIssuer
2305204910OtherVAVA STATE PHYSICAL THERAPY
PT008413OtherGALICENSE #
22415OtherMDSTATE OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090520000284 MD Practitioner - Physical Therapist in Private Practice 2769531854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22415MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Therapy Solutions, Inc. CurrentSince Sep 11, 2018 Accepting new patients

Locations

28103 Three Notch Rd
Mechanicsville, MD 20659
Phone (301) 290-5090

28105 Three Notch Rd
Mechanicsvlle, MD 20659
Phone (301) 290-5090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1417066408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28103 THREE NOTCH RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593294",
            "telephone_number": "301-290-5090",
            "fax_number": "301-290-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28103 THREE NOTCH RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593294",
            "telephone_number": "301-290-5090",
            "fax_number": "301-290-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4470 Regency Place",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953055",
            "country_code": "US",
            "telephone_number": "301-645-6680",
            "fax_number": "301-645-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ELIZABETH",
        "middle_name": "DICKENS",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22415",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE PHYSICAL THERAPY",
            "identifier": "2305204910",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT008413",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND",
            "identifier": "22415",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.