Active NPI
Thomasena Blanche Jones
- Physical Therapist
- Waldorf, MD
National Provider Identifier
1750889291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14129
- Practice address
- 70 Village St
Waldorf, MD 20602-1838 - Phone
- (301) 645-2776
- NPI assigned
- Jan 30, 2018
- 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 | 14129 | MD | Primary |
Addresses
Primary practice location
70 Village St
Waldorf, MD 20602-1838
Mailing address
6619 Highgate Dr
Fort Washington, MD 20744-1002
Phone (240) 476-8041
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14129 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1750889291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 HIGHGATE DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207441002",
"telephone_number": "240-476-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 VILLAGE ST",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021838",
"telephone_number": "301-645-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "THOMASENA",
"middle_name": "BLANCHE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.