Individual provider Active NPI

Amy Yetter

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1891228615
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26295 Issued in MD
Practice address
401 Woodford Rd
Baltimore, MD 21212-4111
Phone
(443) 858-0679
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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 26295 MD Primary

Addresses

Primary practice location

401 Woodford Rd
Baltimore, MD 21212-4111

Mailing address

401 Woodford Rd
Baltimore, MD 21212-4111
Phone (443) 858-0679

Other names 1

  • Amy Margulies Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000538 MD Practitioner - Physical Therapist in Private Practice 8820365810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Body Physical Therapy and Wellness Center, Inc.Group PAC ID 2567465099, 5 clinicians

Practice addresses (Care Compare)

1400 Coppermine Ter
Baltimore, MD 21209-2012
Phone (443) 279-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26295MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Physical Therapy & Wellness Center, Inc. Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Link Home Therapy Services of Maryland LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

1400 Coppermine Ter
Ste 100
Baltimore, MD 21209

1400 Coppermine Ter
Baltimore, MD 21209
Phone (443) 279-1777

2 Wisconsin Cir
Ste 700
Chevy Chase, MD 20815
Phone (202) 368-6820

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

Organizations & group practices 2

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1891228615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOODFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124111",
            "telephone_number": "443-858-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124111",
            "telephone_number": "443-858-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTER",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MARGULIES",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.