Active NPI
Sylvie Maicas, PHYSICAL THERAPIST A
- Physical Therapy Assistant
- Hunt Valley, MD
National Provider Identifier
1699967620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0013901
- Practice address
- 11350 McCormick Rd
Executive Plaza 1 Suite 501
Hunt Valley, MD 21031 - Phone
- (866) 967-8233
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0013901 | NY | Primary |
Addresses
Primary practice location
11350 McCormick Rd
Executive Plaza 1 Suite 501
Hunt Valley, MD 21031
Mailing address
244 Plum Drive
Marlboro, NJ 07746
Phone (732) 294-1042
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0013901 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1699967620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 PLUM DRIVE",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "07746",
"telephone_number": "732-294-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"address_2": "EXECUTIVE PLAZA 1 SUITE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "21031",
"telephone_number": "866-967-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAICAS",
"first_name": "SYLVIE",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "0013901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.