Alice Agboroben Eyong, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21282 Issued in MD

Practice address

3330 Wilkens Ave
Baltimore, MD 21229-4610

Phone

(410) 525-1544

NPI assigned

Feb 3, 2012

Last updated

Feb 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dedicated Care Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Laurel, MD
  • NPI 1235020306
  NPD Authorized official
• Dedicated Home Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
  • NPI 1952294357
  NPD Authorized official
• Assured Therapy Solutions

  dba Assured Physical Therapy

  • Physical Therapy Clinic/Center
  • College Park, MD
  • NPI 1043043003

  Physical Therapist

  NPD

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328313600000",
    "number": "1629340880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294610",
            "telephone_number": "410-525-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294610",
            "telephone_number": "410-525-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYONG",
        "first_name": "ALICE",
        "middle_name": "AGBOROBEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care Associates of MD, LLC
• Eye Care Associates of MD, LLC
• Eye Surgery Center of White Marsh, LLC
• Eyecare Associates,Inc.
• Victoria Alma Eyler, PSY.D.
• Megan Eyvazzadeh, PT, DPT, OCS
• Ez Health Primary and Behavioral Health LLC
• Ez Optical Inc
• Ez Smile Dental Inc
• Saman Ezadpanah

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; 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.