Individual provider Active NPI

Joshua William Ferguson, PT

  • Physical Therapist
  • Leonardtown, MD
National Provider Identifier
1497022750
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23858 Issued in MD
Practice address
23511 Hollywood Rd Ste 1
Leonardtown, MD 20650-5833
Phone
(240) 577-6433
NPI assigned
Nov 30, 2011
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 23858 MD Primary

Addresses

Primary practice location

23511 Hollywood Rd Ste 1
Leonardtown, MD 20650-5833

Mailing address

42529 Anne CT
Hollywood, MD 20636-2344
Phone (301) 481-8610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000319 MD Practitioner - Physical Therapist in Private Practice 6901073113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians

Practice addresses (Care Compare)

22715 Washington St
Leonardtown, MD 20650-0309
Phone (301) 997-0172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23858MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Proflex Physical Therapy of Maryland, LLC. Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Proflex Physical Thearpy of Maryland, LLC CurrentSince May 1, 2024 Accepting new patients
Bayside Physical Therpay and Sports Rehabilitation, Inc Physical Therapist PastSince Sep 7, 2017 Accepting new patients

Locations

22738 Maple Rd
Ste 102
Lexington Park, MD 20653
Phone (301) 363-0539

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1497022750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42529 ANNE CT",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206362344",
            "telephone_number": "301-481-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD STE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "240-577-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.