Individual provider Active NPI

Ann Marie Digerolamo

  • Occupational Therapist
  • Rosedale, MD
National Provider Identifier
1871191601
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09016 Issued in MD
Practice address
7106 Ridge Rd Ste 150
Rosedale, MD 21237-3875
Phone
(410) 238-3033
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09016 MD Primary

Addresses

Primary practice location

7106 Ridge Rd Ste 150
Rosedale, MD 21237-3875

Mailing address

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

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09016MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness LLC CurrentSince May 2, 2022 Accepting new patients
Active Physical Therapy Services, LLC Occupational Therapist PastSince Mar 1, 2020 Accepting new patients
Maryland Spine Rehab, LLC PastSince Oct 19, 2020 Accepting new patients

Locations

7106 Ridge Rd
Ste 150
Rosedale, MD 21237
Phone (410) 238-3030

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1871191601",
    "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": "7106 RIDGE RD STE 150",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373875",
            "telephone_number": "410-238-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGEROLAMO",
        "first_name": "ANN MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.