Active NPI
Ayanna Moonah
- Physical Therapist
- Owings Mills, MD
National Provider Identifier
1528947744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30555
- Practice address
- 7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528 - Phone
- (410) 849-9496
- NPI assigned
- Sep 1, 2025
- Last updated
- Sep 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 30555 | MD | Primary |
Addresses
Primary practice location
7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528
Mailing address
1133 Hollins St
Baltimore, MD 21223-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30555 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charm City Therapy | Current | Accepting new patients |
Locations
7 Gwynns Mill Ct
Ste I
Owings Mills, MD 21117
Phone (410) 443-7021
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Owings Mills, MD
- NPI 1609204999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1528947744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 HOLLINS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GWYNNS MILL CT STE I",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173528",
"telephone_number": "410-849-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONAH",
"first_name": "AYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.