Active NPI
Michelle Outeiral, DPT
- Physical Therapist
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38227
- Practice address
- 580 Ritchie Hwy
Severna Park, MD 21146-3924 - Phone
- (443) 261-2243
- Fax
- (410) 384-1617
- NPI assigned
- Jan 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38227 | FL | Primary |
Addresses
Primary practice location
580 Ritchie Hwy
Severna Park, MD 21146-3924
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone (410) 530-1322
Other names 1
- Michelle Fitzhenry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38227 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
580 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 544-7417
3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
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.
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1750034757",
"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": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 RITCHIE HWY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463924",
"telephone_number": "443-261-2243",
"fax_number": "410-384-1617"
}
],
"practiceLocations": [
{
"address_1": "220 Greenfield Ave",
"address_purpose": "LOCATION",
"city": "San Anselmo",
"state": "CA",
"postal_code": "949602416",
"country_code": "US",
"telephone_number": "410-530-1322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUTEIRAL",
"first_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FITZHENRY",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.