Anna K Nowaczyk, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07852 Issued in MD

Practice address

10450 Lottsford Rd
Mitchellville, MD 20721-2734

Phone

(301) 541-5017

Fax

(214) 305-3399

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842
  Medicare reassignment Care Compare group NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Bowie, MD
  • NPI 1750769055

  DC

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Odenton, MD
  • NPI 1447129507
  NPD
• Assisted Rehab. Incorporated

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Towson, MD
  • NPI 1427196955

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1790348381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WOODBROOK LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121035",
            "telephone_number": "585-734-7893",
            "fax_number": "214-305-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 LOTTSFORD RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212734",
            "telephone_number": "301-541-5017",
            "fax_number": "214-305-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWACZYK",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07852",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "assistedrehab@comcast.net",
            "affiliation": "N",
            "endpointDescription": "emaill address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "anowaczyk@assisted-rehab.com",
            "address_1": "10450 Lottsford Rd",
            "city": "Mitchellville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207212734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Milton Nichols
• Nix Direct Access Pediatrics PC
• Adaeze Ashley Nnabue, OD
• Alexander Chukwuemeka Nnabue, O.D
• Norman G. McKoy MD & Associates PA
• O.a.O Therapy and Consulting, LLC
• Moses Ogunyoye
• Oluwatoyin Olawale
• Oyakhilomen Omoike, D. SCI., MS.PT
• Oluwatoyin Olaide Orunja

• Speech-Language Pathologist in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.