NPIMap

Organization Active NPI

Felice Physical Therapy

  • Physical Therapy Clinic/Center
  • Hunt Valley, MD
National Provider Identifier
1851774475
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
22634 Issued in MD
Legal business name
FELICE PHYSICAL THERAPY
Practice address
11270 Pepper Rd
Hunt Valley, MD 21031-1202
Phone
(315) 408-8341
NPI assigned
Jun 30, 2015
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Jerod M Felice, PTNPI 1205097292
Title
Owner
Phone
(315) 408-8341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 22634 MD Primary

Addresses

Primary practice location

11270 Pepper Rd
Hunt Valley, MD 21031-1202

Mailing address

3190 Lawndale Rd
Finksburg, MD 21048-1565
Phone (315) 408-8341

Other practice location 1

10 Light St
Baltimore, MD 21202-1435
Phone (315) 408-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161006000280 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618265687 Receives reassigned benefits from 33 practitioners
Practice locations: Finksburg, MD; Towson, MD; Severna Park, MD; Pikesville, MD; Hunt Valley, MD; Hampstead, MD; Essex, MD; Elkridge, MD…

National Provider Directory

National Provider Directory
Tax ID family
Felice Physical Therapy15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

8895 McGaw Rd
Ste G
Columbia, MD 21045
Phone (443) 441-0616

800 Kenilworth Dr
Towson, MD 21204
Phone (443) 441-0637

4600 West Ox Rd
Rm 144
Fairfax, VA 22030
Phone (443) 441-0677

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1851774475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 LAWNDALE RD",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210481565",
            "telephone_number": "315-408-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 PEPPER RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311202",
            "telephone_number": "315-408-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Light St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021435",
            "country_code": "US",
            "telephone_number": "315-408-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FELICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "FELICE",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-408-8341",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "22634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.