Active NPI
Anne Coakley, PT
- Orthopedic Physical Therapist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 16463
- Practice address
- 6011 University Blvd
Suite 120
Ellicott City, MD 21043-6074 - Phone
- (410) 203-0391
- Fax
- (410) 203-2707
- NPI assigned
- Sep 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 16463 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 16463 | MD | Primary |
Addresses
Primary practice location
6011 University Blvd
Suite 120
Ellicott City, MD 21043-6074
Mailing address
3901 National Dr
Ste 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125
7130 Minstrel Way
Ll110
Columbia, MD 21045-5261
Phone (240) 841-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16463 | MD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Fit Physical Therapy & Wellness, LLC | Current | Accepting new patients | |
| Forever Fit Physical Therapy & Wellness | Current | Accepting new patients | |
| Forever Fit Physical Therapy & Wellness LLC | Current | Accepting new patients | |
| Howard County Physical Therapy Sports Rehabilitation | Current | Accepting new patients |
Locations
3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684
7130 Minstrel Way
Ste LL110
Columbia, MD 21045
Phone (240) 841-2639
6011 University Blvd
Ste 120
Ellicott City, MD 21043
Phone (410) 203-0391
4801 Dorsey Hall Dr
Ste 130
Ellicott City, MD 21042
Phone (410) 730-9851
10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Burtonsville, MD
- NPI 1538489802
DC
-
- Physical Medicine & Rehabilitation Physician
- Ellicott City, MD
- NPI 1265428148
-
- Physical Therapist
- Largo, MD
- NPI 1144892555
-
- Physical Therapy Clinic/Center
- Bowie, MD
- NPI 1073085924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1720074511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 NATIONAL DR",
"address_2": "STE 100",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661176",
"telephone_number": "301-421-1125",
"fax_number": "301-500-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 UNIVERSITY BLVD",
"address_2": "SUITE 120",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436074",
"telephone_number": "410-203-0391",
"fax_number": "410-203-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MD",
"license": "16463",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "16463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.