Individual provider Active NPI

Michael R Twomey, PT

  • Physical Therapist
  • Lanham, MD
National Provider Identifier
1568600807
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17752 Issued in MD
Practice address
8116 Good Luck Rd Ste 205
Lanham, MD 20706-3508
Phone
(301) 552-4284
Fax
(301) 599-9500
NPI assigned
Jan 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17752 MD Primary
Specialist 174400000X 17752 MD

Addresses

Primary practice location

8116 Good Luck Rd Ste 205
Lanham, MD 20706-3508

Mailing address

9946 Oak Lea CT
Ellicott City, MD 21042-3638
Phone (410) 330-9380

Other practice location 1

4001 Seven Mile Ln
Baltimore, MD 21208-6114
Phone (410) 330-9380

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17752MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Room PT Inc. Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1568600807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9946 OAK LEA CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423638",
            "telephone_number": "410-330-9380",
            "fax_number": "410-580-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 205",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "301-552-4284",
            "fax_number": "301-599-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Seven Mile Ln",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212086114",
            "country_code": "US",
            "telephone_number": "410-330-9380",
            "fax_number": "410-580-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWOMEY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-24",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17752",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "17752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.