NPIMap

Individual provider Active NPI

Paula Mastboom-Bell, P.T.

  • Physical Therapist
  • Severna Park, MD
National Provider Identifier
1891840468
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21732 Issued in MD
Practice address
551 Baltimore Annapolis Blvd # F
Severna Park, MD 21146-3809
Phone
(410) 315-9080
Fax
(410) 315-9012
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21732 MD Primary

Addresses

Primary practice location

551 Baltimore Annapolis Blvd # F
Severna Park, MD 21146-3809

Mailing address

551 Baltimore Annapolis Blvd # F
Severna Park, MD 21146-3809
Phone (410) 315-9080

Other identifiers 2

IdentifierTypeStateIssuer
S429OtherMDBLUE SHIELD DC
KBX3OtherMDBLUE SHIELD MD

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Physical Aquatic Therapy Inc Physical Therapist Past Accepting new patients
Chesapeake Physical Aquatic Therapy, Inc. Physical Therapist Past Accepting new patients
Chesapeake Physical Aquatic Therapy Inc Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891840468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BALTIMORE ANNAPOLIS BLVD # F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "410-315-9080",
            "fax_number": "410-315-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BALTIMORE ANNAPOLIS BLVD # F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "410-315-9080",
            "fax_number": "410-315-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTBOOM-BELL",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD DC",
            "identifier": "S429",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MD",
            "identifier": "KBX3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.