Individual provider Active NPI

Opalyn De Vera, PT

  • Physical Therapist
  • Lutherville, MD
National Provider Identifier
1871831578
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22210 Issued in MD
Practice address
10803 Falls Rd Ste 2100
Lutherville, MD 21093-4562
Phone
(410) 583-2665
Fax
(410) 367-3307
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 22210 MD Primary

Addresses

Primary practice location

10803 Falls Rd Ste 2100
Lutherville, MD 21093-4562

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

2300 Dulaney Valley Rd
Lutherville Timonium, MD 21093-2739
Phone (410) 252-4500 ext. 7417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714001128 MD Practitioner - Physical Therapist in Private Practice 0547662561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10803 Falls Rd
Suite 2100
Lutherville, MD 21093-4562
Phone (410) 367-3307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jan 1, 2025 Accepting new patients
University of Maryland St. Joseph Rehabilitation Medicine, LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

10803 Falls Rd
Ste 2100
Timonium, MD 21093
Phone (410) 583-2665

7501 Osler Dr
Ste 301
Towson, MD 21204
Phone (410) 337-1349

Organizations & group practices 4

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1871831578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 FALLS RD STE 2100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934562",
            "telephone_number": "410-583-2665",
            "fax_number": "410-367-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Dulaney Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932739",
            "country_code": "US",
            "telephone_number": "410-252-4500 x7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "OPALYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.