Individual provider Active NPI

Nicole Marie Compher, DPT

  • Physical Therapist
  • Aberdeen, MD
National Provider Identifier
1740720028
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24275 Issued in MD
Practice address
998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762
Phone
(410) 273-9776
Fax
(410) 273-9777
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24275 MD Primary

Addresses

Primary practice location

998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762

Mailing address

3455 Highway 81
Loganville, GA 30052-9138
Phone (770) 554-0665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428000685 MD Practitioner - Physical Therapist in Private Practice 9133406101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762
Phone (410) 273-9776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24275MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Apr 3, 2017 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Apr 3, 2017 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

998 Hospitality Way
Ste 101
Aberdeen, MD 21001
Phone (410) 273-9776

5 Bel Air South Pkwy
Ste 503B
Bel Air, MD 21015
Phone (410) 399-9590

223 E Main St
#E
Rising Sun, MD 21911
Phone (410) 214-2125

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, 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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1740720028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529138",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 101",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011762",
            "telephone_number": "410-273-9776",
            "fax_number": "410-273-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPHER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, 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.