Active NPI
Elizabeth Anne Wall, PT
- Physical Therapist
- Prince Frederick, MD
National Provider Identifier
1780221663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27693
- Practice address
- 100 Hospital Rd
Prince Frederick, MD 20678-4017 - Phone
- (410) 535-4000
- NPI assigned
- Dec 10, 2019
- 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 | 27693 | MD | Primary |
Addresses
Primary practice location
100 Hospital Rd
Prince Frederick, MD 20678-4017
Mailing address
156 Cross Point Dr
Owings, MD 20736-3322
Phone (443) 646-5659
Other names 1
- Elizabeth Anne Zuendt
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 |
|---|---|---|---|
| 27693 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1780221663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CROSS POINT DR",
"city": "OWINGS",
"state": "MD",
"postal_code": "207363322",
"telephone_number": "443-646-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "410-535-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ZUENDT",
"middle_name": "ANNE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.