Active NPI
Maile Jones Johnson
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1841121951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30880
- Practice address
- 1031 Bay Ridge Ave
Annapolis, MD 21403-3031 - Phone
- (443) 203-9388
- NPI assigned
- May 27, 2026
- Last updated
- May 27, 2026
- 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 | 30880 | MD | Primary |
Addresses
Primary practice location
1031 Bay Ridge Ave
Annapolis, MD 21403-3031
Mailing address
517 Old Pasture LN
Severna Park, MD 21146-2440
Phone (443) 510-6463
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 |
|---|---|---|---|
| 30880 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proformance Sports Rehabilitation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Severna Park, MD
- NPI 1720562069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1841121951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 OLD PASTURE LN",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462440",
"telephone_number": "443-510-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 BAY RIDGE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033031",
"telephone_number": "443-203-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAILE",
"middle_name": "JONES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.