Active NPI
Shantell T Enonuya
- Physical Therapist
- Bowie, MD
National Provider Identifier
1891455069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6842 Race Track Rd Ste B
Bowie, MD 20715-3011 - Phone
- (240) 544-0200
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
6842 Race Track Rd Ste B
Bowie, MD 20715-3011
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7905 Malcolm Rd
Suite 201
Clinton, MD 20735-1749
Phone (301) 856-0050
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proflex Physical Therapy of Maryland, LLC. | Physical Therapist | Current | Accepting new patients |
| Proflex Physical Thearpy of Maryland, LLC | Current | Accepting new patients |
Locations
7905 Malcolm Rd
Ste 201
Clinton, MD 20735
Phone (301) 856-0050
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.
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
DC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
-
- Physical Medicine & Rehabilitation Physician
- Stafford, VA
- NPI 1700763851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1891455069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 RACE TRACK RD STE B",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153011",
"telephone_number": "240-544-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENONUYA",
"first_name": "SHANTELL",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.