Individual provider Active NPI

Joseph George Federline, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1770655045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20981 Issued in MD
Practice address
8005 Harford Rd
Suite 102
Baltimore, MD 21234-5701
Phone
(410) 663-3133
Fax
(410) 663-3089
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20981 MD Primary

Addresses

Primary practice location

8005 Harford Rd
Suite 102
Baltimore, MD 21234-5701

Mailing address

8005 Harford Rd
Suite 102
Baltimore, MD 21234-5701
Phone (410) 663-3133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000391 MD Practitioner - Physical Therapist in Private Practice 8527055110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Performance and TherapyGroup PAC ID 0446767917, 2 clinicians
Advanced Care Physical Therapy, Inc.Group PAC ID 9739070228, 4 clinicians

Practice addresses (Care Compare)

121 Industry LN
Forest Hill, MD 21050-1621
Phone (443) 267-7536

8005 Harford Rd
Parkville, MD 21234-5753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20981MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Performance and Therapy Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Advanced Care Physical Therapy, Inc. Physical Therapist CurrentSince Jul 21, 2003 Accepting new patients
Advanced Home Care Services, Inc. Past Accepting new patients

Locations

121 Industry Ln
Forest Hill, MD 21050
Phone (410) 844-3042

8005 Harford Rd
Ste 102
Parkville, MD 21234
Phone (410) 663-3133

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770655045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345701",
            "telephone_number": "410-663-3133",
            "fax_number": "410-663-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345701",
            "telephone_number": "410-663-3133",
            "fax_number": "410-663-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERLINE",
        "first_name": "JOSEPH",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.