Active NPI
Jennifer Rath, MPT
- Physical Therapist
- Centreville, MD
National Provider Identifier
1790256287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20162
- Practice address
- 113 Quail Run Dr
Centreville, MD 21617-2300 - Phone
- (443) 995-1618
- NPI assigned
- Dec 10, 2018
- Last updated
- May 23, 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 | 20162 | MD | Primary |
Addresses
Primary practice location
113 Quail Run Dr
Centreville, MD 21617-2300
Mailing address
113 Quail Run Dr
Centreville, MD 21617-2300
Phone (443) 995-1618
Other practice location 1
202 Chesterfield Ave
Centreville, MD 21617-1308
Phone (410) 758-2403
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 |
|---|---|---|---|
| 20162 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen Anne's County Board of Education | Past | Accepting new patients | |
| Queen Anne's County Board of Education | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapist
- Grasonville, MD
- NPI 1003622457
-
- Local Education Agency (LEA)
- Centreville, MD
- NPI 1598980062
-
- Local Education Agency (LEA)
- Centreville, MD
- NPI 1972726685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1790256287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 QUAIL RUN DR",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172300",
"telephone_number": "443-995-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 QUAIL RUN DR",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172300",
"telephone_number": "443-995-1618"
}
],
"practiceLocations": [
{
"address_1": "202 Chesterfield Ave",
"address_purpose": "LOCATION",
"city": "Centreville",
"state": "MD",
"postal_code": "216171308",
"country_code": "US",
"telephone_number": "410-758-2403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATH",
"first_name": "JENNIFER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, MD
- Queen Anne's County Health Department
- Queen Anne's County Health Department (Queen Anne's County Alcohol and Drug Abuse Services)
- Queen Anne's County Health Department
- Queen Anne's County Health Department
- Anna Kathryn Nordhoff Ralfs, LGPC
- Rising Hope Christian Counseling and Wellness, LLC
- Desne Kell Roe, PT, CLT
- Jennifer Koch Rommel
- Erica Lyn Roszell, LMSW
- Molly Lynn Rusch, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.