Individual provider Active NPI

Jessica Rose Galvez, PT, DPT

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1669952008
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27102 Issued in MD
Practice address
1406 Crain Hwy S Ste 110
Glen Burnie, MD 21061-4086
Phone
(410) 762-2124
Fax
(410) 705-5057
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 27102 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S Ste 110
Glen Burnie, MD 21061-4086

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000883 MD Practitioner - Physical Therapist in Private Practice 8921342403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Oaks Physical Therapy, LLCGroup PAC ID 1759604838, 18 clinicians
Atlas Physical Therapy and Associates LLCGroup PAC ID 8022309863, 4 clinicians

Practice addresses (Care Compare)

10632 Little Patuxent Pkwy
Suite 123
Columbia, MD 21044-6285
Phone (443) 917-2973

1406 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4086
Phone (410) 762-2124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27102MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William J Pogoda MD PA CurrentSince May 26, 2025 Accepting new patients
4 Oaks Physical Therapy, LLC. Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients
4 Oaks Physical Therapy of Harford County Physical Therapist CurrentSince May 26, 2025 Accepting new patients
Atlas Physical Therapy & Associates, LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients

Locations

3700 Fleet St
Ste 109
Baltimore, MD 21224
Phone (443) 438-7214

2000 Century Plz
Columbia, MD 21044
Phone (410) 740-4802

10632 Little Patuxent Pkwy
Ste 123
Columbia, MD 21044
Phone (443) 917-2973

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

1406 Crain Hwy S
Ste 110
Glen Burnie, MD 21061
Phone (410) 762-2123

9 Schilling Rd
Ste LL3
Hunt Valley, MD 21031
Phone (410) 229-9800

8740 Belair Rd
Nottingham, MD 21236
Phone (410) 339-1693

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1669952008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 110",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-762-2124",
            "fax_number": "410-705-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.