Active NPI
Elise Kay Egolf, DPT
- Physical Therapist
- Westminster, MD
National Provider Identifier
1881130581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23654
- Practice address
- 1011 Baltimore Blvd
Westminster, MD 21157-7055 - Phone
- (724) 816-5338
- NPI assigned
- Jan 18, 2017
- Last updated
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 23654 | MD | Primary |
Addresses
Primary practice location
1011 Baltimore Blvd
Westminster, MD 21157-7055
Mailing address
7086 Saddle Dr
Sykesville, MD 21784-5964
Phone (724) 816-5338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23654 | Other | MD | PT LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23654 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1881130581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7086 SADDLE DR",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217845964",
"telephone_number": "724-816-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BALTIMORE BLVD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211577055",
"telephone_number": "724-816-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGOLF",
"first_name": "ELISE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "23654",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.