Jennifer Delcoco

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

6300 Georgetown Blvd Ste 137-138
Eldersburg, MD 21784-6481

Phone

(443) 531-5888

NPI assigned

Jul 1, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primephysicaltherapyllc

  • Physical Therapy Clinic/Center
  • Eldersburg, MD
  • NPI 1154868172

  Orthopedic

  NPD

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1649840554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD STE 137-138",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481",
            "telephone_number": "443-531-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD STE 137-138",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481",
            "telephone_number": "443-531-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCOCO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.primeptmd.com",
            "affiliation": "N",
            "address_1": "6300 Georgetown Blvd Ste 137-138",
            "city": "Eldersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217846481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sally R Davis, DDS
• Holly Michelle Dawsey, LCSW-C
• Brandy E Day, LCSW-C
• DBT of Maryland, LLC
• Cheryl Rockhill Degenhardt, D.D.S.
• Jennifer Dempsey
• Design for Your Soul
• Melinda J Dettmer, LMT
• Deborah Lynn Devincent, LCPC
• Amit Singh Dhanda

• Orthopedic Physical Therapist in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.