Individual provider Active NPI

Miranda Danielle Thompson, DPT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1457044950
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29447 Issued in MD
Practice address
8322 Bellona Ave
Towson, MD 21204-2065
Phone
(410) 337-8847
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29447 MD Primary

Addresses

Primary practice location

8322 Bellona Ave
Towson, MD 21204-2065

Mailing address

10621 Glass Tumbler Path
Columbia, MD 21044-4144
Phone (443) 537-8911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710000506 MD Practitioner - Physical Therapist in Private Practice 9830558824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

1305 Governors Ct
Ste H
Abingdon, MD 21009

1305 Governors Ct
Ste G
Abingdon, MD 21009
Phone (443) 655-0576

5 Bel Air South Pkwy
Ste 1421
Bel Air, MD 21015
Phone (410) 337-1112

10880 Railroad Ave
Cockeysville, MD 21030
Phone (410) 337-8847

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9110 Philadelphia Rd
Ste 314
Rosedale, MD 21237
Phone (410) 616-1401

7801 York Rd
Ste 140
Towson, MD 21204
Phone (410) 337-4024

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

Interoperability endpoints

  • Direct secure messaging: miranda.thompson.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1457044950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 GLASS TUMBLER PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444144",
            "telephone_number": "443-537-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MIRANDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.