Active NPI
Josephine David Bagsic
- Geriatric Physical Therapist
- Frederick, MD
National Provider Identifier
1710226014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 21926
- Practice address
- 9735 Wyndham Dr
Frederick, MD 21704-7391 - Phone
- (240) 575-4289
- NPI assigned
- Feb 6, 2013
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 21926 | MD | Primary |
Addresses
Primary practice location
9735 Wyndham Dr
Frederick, MD 21704-7391
Mailing address
9735 Wyndham Dr
Frederick, MD 21704-7391
Phone (240) 575-4289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230804001434 | MD | Practitioner - Physical Therapist in Private Practice | 4284095316 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2480 Waterside Dr
Frederick, MD 21701-3445
Phone (855) 657-8723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1710226014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 WYNDHAM DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047391",
"telephone_number": "240-575-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 WYNDHAM DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047391",
"telephone_number": "240-575-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGSIC",
"first_name": "JOSEPHINE",
"middle_name": "DAVID",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MD",
"license": "21926",
"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 Feb 6, 2013; 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.