Active NPI
Elizabeth Dickens Turner, MPT
- Physical Therapist
- Mechanicsville, MD
National Provider Identifier
1417066408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305204910 | Other | VA | VA STATE PHYSICAL THERAPY |
| PT008413 | Other | GA | LICENSE # |
| 22415 | Other | MD | STATE OF MARYLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22415 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Therapy Solutions, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Mechanicsville, MD
- NPI 1093982738
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.