Active NPI
Sheila Farrell, P.T.
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1609964428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18189
- Practice address
- 8218 Wisconsin Ave
Ste 218
Bethesda, MD 20814-3107 - Phone
- (301) 215-7055
- Fax
- (301) 961-5598
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22412 | NC | |
| Physical Therapist | 225100000X | 18189 | MD | Primary |
Addresses
Primary practice location
8218 Wisconsin Ave
Ste 218
Bethesda, MD 20814-3107
Mailing address
8218 Wisconsin Ave
Ste 218
Bethesda, MD 20814-3107
Phone (301) 215-7055
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18189 | Medicaid | MD | |
| J0900001 | Other | MD | CAREFIRST |
| J522SG | Other | MD | BC/BS F.E.P. |
| 3247081 | Other | MD | AETNA |
| 2121900 | Other | MD | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523003626 | NC | Practitioner - Physical Therapist in Private Practice | 8022277425 |
Reassigns benefits to 1 organization Practice locations: Wilmington, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthy Seniors
Practice addresses (Care Compare)
4829 Carolina Beach Rd
Suite 100
Wilmington, NC 28412-2366
Phone (910) 444-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18189 | MD | MD | Physical Therapist |
| P22412 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Seniors | Current | Accepting new patients |
Locations
4829 Carolina Beach Rd
Ste 100
Wilmington, NC 28412
Phone (910) 444-0020
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1609964428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVE",
"address_2": "STE 218",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "301-215-7055",
"fax_number": "301-961-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVE",
"address_2": "STE 218",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "301-215-7055",
"fax_number": "301-961-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "SHEILA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22412",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18189",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "J0900001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS F.E.P.",
"identifier": "J522SG",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3247081",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2121900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.