Nicole Megan Federkeil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28653 Issued in MD

Practice address

9475 Deereco Rd
Lutherville, MD 21093-2118

Phone

(410) 308-3543

Fax

(410) 308-4663

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baltimore Physical Aquatic and Sports Therapy LLCGroup PAC ID 1254723703, 3 clinicians

Chesapeake Bay Aquatic and Physical Therapy, IncGroup PAC ID 0749319788, 9 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.

• Baltimore Physical Aquatic & Sports Therapy LLC

  • Physical Therapy Clinic/Center
  • Towson, MD
  • NPI 1285398453

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chesapeake Bay Aquatic & Physical Therapy Inc

  • Physical Therapist
  • Severna Park, MD
  • NPI 1548586076
  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  Physical Therapist

  Medicare reassignment NPD
• Baltimore Physical Aquatic & Sports Therapy LLC

  • Physical Therapy Clinic/Center
  • Cockeysville, MD
  • NPI 1902561855
  NPD
• Chesapeake Bay Aquatic & Physical Therapy Inc.

  • Physical Therapist
  • Timonium, MD
  • NPI 1073859476
  NPD
• Chesapeake Bay Aquatic & Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Laurel, MD
  • NPI 1831411271
  NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1801567714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4058",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932118",
            "telephone_number": "410-308-3543",
            "fax_number": "410-308-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Chartley Dr",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211362328",
            "country_code": "US",
            "telephone_number": "410-833-5300",
            "fax_number": "410-833-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 White Marsh Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154361",
            "country_code": "US",
            "telephone_number": "301-262-5852",
            "fax_number": "301-262-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13946 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075000",
            "country_code": "US",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDERKEIL",
        "first_name": "NICOLE",
        "middle_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Falkler, PTA
• Falls Medical Specialists, LLC
• Chong Fang, M.D.
• Amanda Farr
• Kathie Fedele
• Feelings and Function, LLC
• Feirtag & Ramos PA
• Dominique Felder
• Femi-Care Surgery Center, LLC
• Victor Ferrans, M.D.

• Physical Therapist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.