Traci Marie Carlson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19580 Issued in MD

Practice address

901 Commerce Rd
Annapolis, MD 21401-2944

Phone

(410) 224-2626

Fax

(410) 224-0512

NPI assigned

Aug 30, 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

Other names 1

• Mrs. Traci Marie Koenig Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doyle and Taylor Physical Therapy, LLCGroup PAC ID 3678653813, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.58

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 and National Provider Directory roles.

• Doyle & Taylor Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1053507541

  MD, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Crofton Physical Therapy & Sports Rehab, Inc.

  • Physical Therapist
  • Crofton, MD
  • NPI 1669450920
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851401475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 REMINGTON DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141844",
            "telephone_number": "301-261-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 COMMERCE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012944",
            "telephone_number": "410-224-2626",
            "fax_number": "410-224-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "TRACI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "KOENIG",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Carey, MS CCC-SLP
• Caring Hands Therapeutic Massage LLC
• Caring Touch Medical, Inc.
• Jenna Robin Carlson
• Rachel Carlson, LMSW
• Margaret Carmack
• Katherine Carnaghi, MS, LAT, ATC
• Olivia Carnes
• Maureen Carney, PHARMD
• Kristie Nichole Carpenter, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.