Active NPI
Ivy Tuason
- Physical Therapist
- Salisbury, MD
National Provider Identifier
1871135152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25057
- Practice address
- 324 Mill Pond LN Apt 925
Salisbury, MD 21804-2302 - Phone
- (304) 541-6226
- NPI assigned
- Oct 8, 2019
- Last updated
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25057 | MD | Primary |
Addresses
Primary practice location
324 Mill Pond LN Apt 925
Salisbury, MD 21804-2302
Mailing address
324 Mill Pond LN Apt 925
Salisbury, MD 21804-2302
Phone (304) 541-6226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25057 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio in Motion - Mobile Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
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.
-
- Physical Therapy Clinic/Center
- Boyds, MD
- NPI 1154969392
DC, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1871135152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MILL POND LN APT 925",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042302",
"telephone_number": "304-541-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MILL POND LN APT 925",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042302",
"telephone_number": "304-541-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUASON",
"first_name": "IVY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.