Individual provider Active NPI

Erin Taylor Thomas

  • Speech-Language Pathologist
  • Germantown, MD
National Provider Identifier
1639782840
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02169L Issued in MD
Practice address
13900 Bromfield Rd
Germantown, MD 20874-2293
Phone
(301) 601-4830
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02169L MD Primary

Addresses

Primary practice location

13900 Bromfield Rd
Germantown, MD 20874-2293

Mailing address

850 Hungerford Dr
Rockville, MD 20850-1718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001282 DC Practitioner - Qualified Speech Language Pathologist 2062890536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09894MDMDClinical Social Worker
02169LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Speech Therapy LLC Speech-Language Pathologist CurrentSince Mar 5, 2022 Accepting new patients
Metro Occupational Therapy LLC PastSince Jan 21, 2022 Accepting new patients

Locations

800 S Frederick Ave
Ste 101
Gaithersburg, MD 20877
Phone (240) 200-5305

800 S Frederick Ave
Ste 100
Gaithersburg, MD 20877
Phone (240) 200-5305

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1639782840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 BROMFIELD RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742293",
            "telephone_number": "301-601-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ERIN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02169L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.