Mary Jane Fernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14890 Issued in MD

Practice address

4351 Northview Drive
Bowie, MD 20716-2602

Phone

(301) 464-1893

Fax

(301) 464-1824

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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.

• McGovern Physical Therapy and Performance LLC

  • Physical Therapist
  • Bowie, MD
  • NPI 1306421805
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2008.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1841366432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16317 BAWTY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-464-2581",
            "fax_number": "301-464-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 NORTHVIEW DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162602",
            "telephone_number": "301-464-1893",
            "fax_number": "301-464-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S891 0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "512984 01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Ty'Re Felder
• Jenna Fenwck
• Nina Lomedico Fergus, PHARM.D, RPH
• Marta Gabriela Ferman Fuentes
• Jennifer Aracely Ferman
• Marneeco Loette Ferrell, CRNP
• Cindy Ferrier
• Megan Denarah Ferron, PA-C
• Oluwaseun Feyisetan
• Jillian Fichman, DPT

• All providers in Bowie, MD
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.