Marla Nicole Wilkerson, PT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20757 Issued in MD

Practice address

129 Lubrano Dr
Suite 301
Annapolis, MD 21401-7564

Phone

(410) 224-2626

Fax

(410) 224-0512

NPI assigned

Aug 9, 2006

Last updated

Jun 4, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Physical Therapy LLCGroup PAC ID 9133116411, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Marriottsville, MD
  • NPI 1659553535
  Medicare reassignment Care Compare group NPD
• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services

  • Physical Therapist
  • Baltimore, MD
  • NPI 1649875030
  NPD
• Progressive Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Owings Mills, MD
  • NPI 1265005581

  Physical Therapist

  NPD (past)
• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services, LLC

  • Physical Therapy Clinic/Center
  • Marriottsville, MD
  • NPI 1295408649
  NPD (past)
• Progressive Physical Therapy, LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1427710441
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1801806914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LUBRANO DR",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017564",
            "telephone_number": "410-224-2626",
            "fax_number": "410-224-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MARLA",
        "middle_name": "NICOLE",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildman Optics Inc (sterling optical)
• Judith Ann Wildner, M.S., CCC-SLP
• Allyson Wiley
• Jennifer L Wilhelm
• Morgan Wilinsky
• Willis Ray Wilkerson
• Alexa Catherine Wilkins, PSYD
• Laura Trotman Wilkins, M.A.
• Robert Wilkins, LGPC
• Kara Marie Wilkinson, M.A.CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.