Pamela Vandemark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289

Phone

(443) 213-8668

Fax

(443) 471-8404

NPI assigned

Aug 16, 2018

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1881174134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 116",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "443-213-8668",
            "fax_number": "443-471-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 116",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "443-213-8668",
            "fax_number": "443-471-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEMARK",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.