Individual provider Active NPI

Yonas Habte, PT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1851608236
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23304 Issued in MD
Practice address
14405 Laurel PL Ste 102
Laurel, MD 20707-6102
Phone
(301) 498-8322
NPI assigned
Sep 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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 23304 MD Primary

Addresses

Primary practice location

14405 Laurel PL Ste 102
Laurel, MD 20707-6102

Mailing address

PO Box 419666
Boston, MA 02241-9666
Phone (410) 970-8190

Other practice location 1

9135 Piscataway Rd
Suite 305
Clinton, MD 20735-2549
Phone (301) 877-2323

Other practice location 2

7300 Ritchie Hwy Ste 104
Glen Burnie, MD 21061-3393
Phone (410) 863-5939

Other practice location 3

809 N Charles St Ste 201
Baltimore, MD 21201-5307
Phone (410) 837-4171

Other practice location 4

3200 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4225
Phone (301) 881-4610

Other identifiers 1

IdentifierTypeStateIssuer
8825-0006OtherMDCAREFIRST

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
23304MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness, LLC CurrentSince May 1, 2024 Accepting new patients
Maryland Spine Rehab, LLC Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

1324 Belmont Ave
Ste 101
Salisbury, MD 21804
Phone (410) 656-9953

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1851608236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419666",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419666",
            "telephone_number": "410-970-8190",
            "fax_number": "410-313-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "301-498-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 Piscataway Rd",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207352549",
            "country_code": "US",
            "telephone_number": "301-877-2323",
            "fax_number": "301-877-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Ritchie Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613393",
            "country_code": "US",
            "telephone_number": "410-863-5939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Charles St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015307",
            "country_code": "US",
            "telephone_number": "410-837-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Tower Oaks Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524225",
            "country_code": "US",
            "telephone_number": "301-881-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABTE",
        "first_name": "YONAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "8825-0006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.