Active NPI
Shobha R. Whitacre, PT
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16360
- Practice address
- 2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742 - Phone
- (410) 295-8900
- Fax
- (410) 280-4701
- NPI assigned
- Jul 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16360 | MD | Primary |
Addresses
Primary practice location
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Mailing address
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Phone (410) 295-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650
4175 N Hanson Court
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004
8109 Ritchie Hwy
Suite 600
Pasadena, MD 21122-6905
Phone (410) 553-3515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16360 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Past | Accepting new patients |
Locations
201 Defense Hwy
Ste 150
Annapolis, MD 21401
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
7611 Crain Hwy
Ste C170
Upper Marlboro, MD 20772
Organizations & group practices 4
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
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Severna Park, MD
- NPI 1467942847
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1447515168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-295-8900",
"fax_number": "410-280-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-295-8900",
"fax_number": "410-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITACRE",
"first_name": "SHOBHA",
"middle_name": "R.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.