Active NPI
Raul Namo, P.T.
- Physical Therapist
- Nottingham, MD
National Provider Identifier
1417355439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22632
- Practice address
- 9533 Hickoryhurst Dr
Nottingham, MD 21236-4705 - Phone
- (443) 682-3829
- NPI assigned
- Dec 8, 2014
- Last updated
- Dec 8, 2014
- Sex
- Male
- 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 | 22632 | MD | Primary |
| Physical Therapist | 225100000X | 5501013111 | MI | |
| Physical Therapist | 225100000X | 4074 | NM |
Addresses
Primary practice location
9533 Hickoryhurst Dr
Nottingham, MD 21236-4705
Mailing address
9533 Hickoryhurst Dr
Nottingham, MD 21236-4705
Phone (443) 682-3829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22632 | MD | MD | Pharmacist |
| 5501013111 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1417355439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9533 HICKORYHURST DR",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364705",
"telephone_number": "443-682-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9533 HICKORYHURST DR",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364705",
"telephone_number": "443-682-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMO",
"first_name": "RAUL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22632",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013111",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
- Meghan M Musick, DPT
- Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
- Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
- Ryan Russell Myrick, PTA
- Kristen Nagl, CRNP-PMH
- Beth Nardi, LGPC
- Augustina Nkeiru Nduka, CRNP-PMH
- Neb Doctors of Maryland LLC (Neb Doctors of PA)
- Neb Doctors of Maryland LLC (Neb Doctors of Maryland)
- New Life Addiction Counseling Services Inc (Discovery MD White Marsh)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.