Individual provider Active NPI

Thomas Douglas Vaeth, PT

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1730460056
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15684 Issued in MD
Practice address
2 E Rolling XRDS Ste 57
Catonsville, MD 21228-6212
Phone
(443) 860-9168
Fax
(443) 860-9168
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 15684 MD Primary

Addresses

Primary practice location

2 E Rolling XRDS Ste 57
Catonsville, MD 21228-6212

Mailing address

2 E Rolling XRDS Ste 57
Catonsville, MD 21228-6212
Phone (443) 860-9168

Other practice location 1

2300 Garrison Blvd
Suite 190
Baltimore, MD 21216-2335
Phone (410) 566-2501

Other practice location 2

20 Crossroads Dr Ste 13
Owings Mills, MD 21117-5479
Phone (410) 363-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000665 MD Practitioner - Physical Therapist in Private Practice 6002875184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Miller Rehabilitation Associates LLCGroup PAC ID 9537258322, 2 clinicians

Practice addresses (Care Compare)

20 Crossroads Dr
Suite 13
Owings Mills, MD 21117-5479
Phone (410) 363-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15684MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Miller Rehabilitation Associates LLC Physical Therapist CurrentSince Oct 10, 2021 Accepting new patients
Barry Michaelson Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

20 Crossroads Dr
Ste 13
Owings Mills, MD 21117
Phone (410) 363-0015

Organizations & group practices 3

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1730460056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E ROLLING XRDS STE 57",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "443-860-9168",
            "fax_number": "443-636-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLING XRDS STE 57",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "443-860-9168",
            "fax_number": "443-860-9168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Garrison Blvd",
            "address_2": "Suite 190",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212162335",
            "country_code": "US",
            "telephone_number": "410-566-2501",
            "fax_number": "410-566-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Crossroads Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175479",
            "country_code": "US",
            "telephone_number": "410-363-0015",
            "fax_number": "410-356-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAETH",
        "first_name": "THOMAS",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.

Verify at the official NPI Registry.