Individual provider Active NPI

Izabella B Miranda O'Brien

  • Physical Therapist
  • Perry Hall, MD
National Provider Identifier
1841655602
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25804 Issued in MD
Practice address
5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842
Phone
(443) 725-2150
NPI assigned
Dec 22, 2015
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25804 MD Primary

Addresses

Primary practice location

5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842

Mailing address

5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842
Phone (443) 725-2150

Other practice location 1

12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817
Phone (410) 877-8078

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25804MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Rehabilitation Hospital, Inc. Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1841655602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 209",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "443-725-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 209",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "443-725-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Medstar Blvd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210151817",
            "country_code": "US",
            "telephone_number": "410-877-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA O'BRIEN",
        "first_name": "IZABELLA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.