Individual provider Active NPI

Mary Angel Berame

  • Physical Therapist
  • Finksburg, MD
National Provider Identifier
1679373716
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29254 Issued in MD
Practice address
3367 Stags Leap Dr
Finksburg, MD 21048-2177
Phone
(443) 839-5960
Fax
(410) 702-7572
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 29254 MD Primary

Addresses

Primary practice location

3367 Stags Leap Dr
Finksburg, MD 21048-2177

Mailing address

3367 Stags Leap Dr
Finksburg, MD 21048-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29254MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1679373716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 STAGS LEAP DR",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 STAGS LEAP DR",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482177",
            "telephone_number": "443-839-5960",
            "fax_number": "410-702-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAME",
        "first_name": "MARY",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Finksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.