Individual provider Active NPI

Janine Mirabile, PT

  • Physical Therapist
  • Aberdeen, MD
National Provider Identifier
1629774732
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16591 Issued in MD
Practice address
650 McHenry Rd Ste 1100
Aberdeen, MD 21001-2607
Phone
(443) 843-6320
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 16591 MD Primary

Addresses

Primary practice location

650 McHenry Rd Ste 1100
Aberdeen, MD 21001-2607

Mailing address

650 McHenry Rd Ste 1100
Aberdeen, MD 21001-2607
Phone (443) 843-6320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214002479 MD Practitioner - Physical Therapist in Private Practice 5092187351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Health Rehabilitation Services LLCGroup PAC ID 5294801148, 18 clinicians

Practice addresses (Care Compare)

650 McHenry Rd
Suite 1100
Aberdeen, MD 21001-2607
Phone (443) 843-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16591MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Health Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 5, 2022 Accepting new patients

Locations

650 McHenry Rd
Ste 1100
Aberdeen, MD 21001
Phone (443) 843-6320

615 W Macphail Rd
Ste 210
Bel Air, MD 21014
Phone (443) 409-0051

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1629774732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MCHENRY RD STE 1100",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012607",
            "telephone_number": "443-843-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MCHENRY RD STE 1100",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012607",
            "telephone_number": "443-843-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABILE",
        "first_name": "JANINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.