NPIMap

Individual provider Active NPI

Matthew T Vermillion, PT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1487291795
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27792 Issued in MD
Practice address
10700 Charter Dr Ste 100
Columbia, MD 21044-3631
Phone
(410) 992-7800
Fax
(410) 720-2190
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 27792 MD Primary

Addresses

Primary practice location

10700 Charter Dr Ste 100
Columbia, MD 21044-3631

Mailing address

10700 Charter Dr Ste 100
Columbia, MD 21044-3631
Phone (410) 992-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200106001063 MD Practitioner - Physical Therapist in Private Practice 0840624508 Reassigns benefits to 3 organizations
I20200106001308 DC Practitioner - Physical Therapist in Private Practice 0840624508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10700 Charter Dr
Suite 100
Columbia, MD 21044-3631
Phone (410) 992-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27792MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 7, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jul 28, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 7, 2022 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jul 28, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics LLC Past Accepting new patients

Locations

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

3801 International Dr
Ste 200
Silver Spring, MD 20906
Phone (301) 598-1450

Organizations & group practices 10

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1487291795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-720-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-720-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.