Individual provider Active NPI

Michelle Lynn Jeram, PT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1649547498
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19074 Issued in MD
Practice address
400 W 7TH St
Frederick, MD 21701-4506
Phone
(240) 566-3337
Fax
(240) 566-4872
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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 19074 MD Primary

Addresses

Primary practice location

400 W 7TH St
Frederick, MD 21701-4506

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000286 MD Practitioner - Physical Therapist in Private Practice 3476576380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McNerney and Associates PAGroup PAC ID 4082682539, 12 clinicians

Practice addresses (Care Compare)

5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7869
Phone (410) 740-1047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19074MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McNerney & Associates, P.a. Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Mar 9, 2019 Accepting new patients
Spencer E Sherman MDPC Past Accepting new patients
PT Plus, PC Physical Therapist Past Accepting new patients
Frederick Health Hospital Inc PastSince Jan 4, 2021 Accepting new patients
New City Physical Medicine & Rehabilitation PC Past Accepting new patients

Locations

5024 Dorsey Hall Dr
Ste 103
Ellicott City, MD 21042
Phone (410) 740-1047

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

Organizations & group practices 6

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1649547498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3337",
            "fax_number": "240-566-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3337",
            "fax_number": "240-566-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERAM",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.