Katie Moreland

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24824 Issued in MD

Practice address

101 Market St # C
Pocomoke City, MD 21851-1042

Phone

(410) 822-4613

Fax

(410) 822-6534

NPI assigned

Dec 5, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• W James Downs Jr PT PA

  dba Tidewater Electromyography

  • Clinical Electrophysiology Physical Therapist
  • Easton, MD
  • NPI 1356425938
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1720419435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014052",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARKET ST # C",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511042",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L. McNamara, D.M.D.
• Sara Painter Mears, RN, BSN
• Merrill Care LLC
• Mid Atlantic Primary Care
• Christina Miller
• Morning Glory Counseling Services, LLC
• Karen Musengwa, MS CCC-SLP
• Paulina Nguyo
• James Robert Nickol, O.D.
• Michelle Renee' Nock

• Physical Therapist in Pocomoke City, MD
• Providers in Pocomoke City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.