Nicole Viscuso, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28471 Issued in MD

Practice address

30 E Padonia Rd Ste 104
Lutherville Timonium, MD 21093-2347

Phone

(410) 823-8061

NPI assigned

Jun 14, 2021

Last updated

Jul 1, 2021By the provider in NPPES

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

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Megan Rich Physical TherapyGroup PAC ID 3779507694, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Megan Rich Physical Therapy

  • Physical Therapist
  • Timonium, MD
  • NPI 1700812252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1447828793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045801",
            "telephone_number": "410-321-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 104",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932347",
            "telephone_number": "410-823-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCUSO",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• USA Vein Clinics of Maryland LLC
• Barry Godwin Chinemerem Uzoechi, PMHNP
• Sherin Elizabeth Varghese, M.D.
• Dara Vaughan, CRNP
• Village Supermarket of Maryland, LLC (Shoprite Pharmacy of Timonium)
• Anthony Paul Wade II
• Tracy Wallace, LGPC
• Rachel Gabriella Wallick, LMHC
• Pamela C Watkins, LGPC
• Sarah Marie Weitzel, MS CCC-SLP

• Physical Therapist in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.

Verify at the official NPI Registry.