Individual provider Active NPI

Maria Bonci

  • Physical Therapist
  • Emmitsburg, MD
National Provider Identifier
1629590195
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26525 Issued in MD
Practice address
17750 Creamery Rd Ste B7
Emmitsburg, MD 21727-9199
Phone
(301) 447-1670
Fax
(301) 447-1671
NPI assigned
Jul 17, 2017
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26525 MD Primary

Addresses

Primary practice location

17750 Creamery Rd Ste B7
Emmitsburg, MD 21727-9199

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

5100 Buckeystown Pike Ste 158
Frederick, MD 21704-8337
Phone (301) 620-7478

Other names 1

  • Maria Calla Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906000899 MD Practitioner - Physical Therapist in Private Practice 5991078420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

141 Thomas Johnson Dr
Suite 180
Frederick, MD 21702-4509
Phone (301) 620-7478

17750 Creamery Rd
Suite B7
Emmitsburg, MD 21727-9199
Phone (301) 447-1670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jul 10, 2017 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jul 10, 2017 Accepting new patients

Locations

17750 Creamery Rd
Ste B7
Emmitsburg, MD 21727
Phone (301) 447-1670

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

5100 Buckeystown Pike
Ste 158
Frederick, MD 21704
Phone (301) 662-6790

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1629590195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 CREAMERY RD STE B7",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217279199",
            "telephone_number": "301-447-1670",
            "fax_number": "301-447-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Buckeystown Pike Ste 158",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048337",
            "country_code": "US",
            "telephone_number": "301-620-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONCI",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CALLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emmitsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.

Verify at the official NPI Registry.