Individual provider Active NPI

Joanne Louise Innes, PT

  • Physical Therapist
  • Edgewater, MD
National Provider Identifier
1740584531
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26317 Issued in MD
Practice address
9 Lee Airpark Dr
Suite 400
Edgewater, MD 21037-1229
Phone
(443) 607-1469
Fax
(410) 956-2618
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008928 CT
Physical Therapist 225100000X 26317 MD Primary

Addresses

Primary practice location

9 Lee Airpark Dr
Suite 400
Edgewater, MD 21037-1229

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170608000149 MD Practitioner - Physical Therapist in Private Practice 4587847512 Reassigns benefits to 3 organizations
I20241018002542 DC Practitioner - Physical Therapist in Private Practice 4587847512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis Family Physical Therapy, IncGroup PAC ID 9032255401, 8 clinicians

Practice addresses (Care Compare)

2564 Riva Rd
Annapolis, MD 21401-7405
Phone (410) 266-6626

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as individual
Quality
84.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26317MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 6, 2017 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2020 Accepting new patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Jan 28, 2020 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 6, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2006 Industrial Dr
Annapolis, MD 21401
Phone (410) 266-7174

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1740584531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEE AIRPARK DR",
            "address_2": "SUITE 400",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371229",
            "telephone_number": "443-607-1469",
            "fax_number": "410-956-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNES",
        "first_name": "JOANNE",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008928",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.