Wendy Quitasol

Primary specialty

SpecialistTaxonomy code 174400000X

License

17297 Issued in MD

Practice address

1400 Coppermine Ter
Baltimore, MD 21209-2012

Phone

(443) 279-1777

NPI assigned

Jun 29, 2006

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Body Physical Therapy and Wellness Center, Inc.Group PAC ID 2567465099, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Body Physical Therapy & Wellness Center, Inc.

  • Specialist
  • Baltimore, MD
  • NPI 1164437828
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1841228855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COPPERMINE TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COPPERMINE TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092012",
            "telephone_number": "443-279-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUITASOL",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "17297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Quinteros, MBA, MS, RD
• Brianne Quintin
• Allynkate Quinzon, FNP-BC
• Jennifer Nicole Quirk, CRNP
• Karl H Quist-Therson, MD
• Elenita J Quizon, MD
• Brady Tadao Quon
• Harry Quon, MD
• Ambereen Quraishi, MD
• Farheen Afshan Qurashi, M.D.

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.