Organization Active NPI

Empowered Physical Therapy & Wellness, LLC

  • Orthopedic Physical Therapist
  • Fulton, MD
National Provider Identifier
1558032391
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
EMPOWERED PHYSICAL THERAPY & WELLNESS, LLC
Practice address
8971 Tawes St
Fulton, MD 20759-2604
Phone
(240) 360-1781
Fax
(240) 306-1401
NPI assigned
Sep 22, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erika Karin Velez, PT, DPTNPI 1235297888
Title
Owner/ Single Member LLC
Phone
(703) 399-4883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210921002103 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193122968 Receives reassigned benefits from 1 practitioner
Practice locations: Fulton, MD

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

8971 Tawes St
Fulton, MD 20759-2604

Mailing address

8971 Tawes St
Fulton, MD 20759-2604
Phone (240) 360-1781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2021.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1558032391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8971 TAWES ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592604",
            "telephone_number": "240-360-1781",
            "fax_number": "240-306-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8971 TAWES ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592604",
            "telephone_number": "240-360-1781",
            "fax_number": "240-306-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "KARIN",
        "authorized_official_title_or_position": "OWNER/ SINGLE MEMBER LLC",
        "authorized_official_telephone_number": "703-399-4883",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.