Active NPI
Neethu Mathew Thyparambil, P.T.
- Physical Therapist
- Frederick, MD
National Provider Identifier
1811072754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23232
- Practice address
- 198 Thomas Johnson Dr
Suite 19
Frederick, MD 21702-4398 - Phone
- (301) 898-2826
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62026735 | NY | |
| Physical Therapist | 225100000X | PT018704 | PA | |
| Physical Therapist | 225100000X | 23232 | MD | Primary |
Addresses
Primary practice location
198 Thomas Johnson Dr
Suite 19
Frederick, MD 21702-4398
Mailing address
3960 Braveheart Cir
1902
Frederick, MD 21704-7743
Phone (501) 231-6159
Other names 1
- Ms. Neethu Kattottil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
198 Thomas Johnson Dr
Suite 5
Frederick, MD 21702-4449
Phone (301) 898-2826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23232 | MD | MD | Clinical Social Worker |
| 62026735 | NY | MD | Physical Therapist |
| PT018704 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy | Physical Therapist | Current | Accepting new patients |
Locations
198 Thomas Johnson Dr
Ste 19
Frederick, MD 21702
Phone (301) 508-0223
198 Thomas Johnson Dr
Ste 5
Frederick, MD 21702
Phone (301) 624-5390
Organizations & group practices 1
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.
-
- Physical Therapist
- Frederick, MD
- NPI 1225587538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1811072754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 BRAVEHEART CIR",
"address_2": "1902",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047743",
"telephone_number": "501-231-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 19",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024398",
"telephone_number": "301-898-2826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THYPARAMBIL",
"first_name": "NEETHU",
"middle_name": "MATHEW",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62026735",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018704",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEETHU",
"last_name": "KATTOTTIL",
"prefix": "MS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.