Carlene I Donaldson, M.S. P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20264 Issued in MD

Practice address

9135 Piscataway Rd Ste 305
Clinton, MD 20735-2554

Phone

(301) 877-2323

Fax

(301) 877-2366

NPI assigned

Jun 14, 2006

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

Other identifiers 1

Other names 1

• Carlene I Jerome Former name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Metro DC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1649213760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419666",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419666",
            "telephone_number": "410-970-8190",
            "fax_number": "410-313-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 305",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352554",
            "telephone_number": "301-877-2323",
            "fax_number": "301-877-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "CARLENE",
        "middle_name": "I",
        "credential": "M.S. P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "8825 - 0025",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLENE",
            "last_name": "JEROME",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kara Dobbs, DPT
• Tyra Nechelle Doles
• Joanne Froio Domson, MD
• Paul C Domson Sr., M.D.
• Don Trucking LLC (Don Trucking)
• Kristen Mary Donnelly, PA-C, MPAS, MPH
• Aldene Doyle, FNP
• Dr So Bright Dental LLC
• Dr. Alexander C Nnabue and Associates PA (Visual Eyes)
• Dr. Arnaldo a. Garro, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.