Individual provider Active NPI

Rafaela Martin Barbosa, PT

  • Physical Therapist
  • Clinton, MD
National Provider Identifier
1912485194
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30038 Issued in MD
Practice address
7801 Old Branch Ave Ste 105
Clinton, MD 20735-1641
Phone
(301) 856-8386
NPI assigned
Jul 31, 2018
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 30038 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave Ste 105
Clinton, MD 20735-1641

Mailing address

103 Professional Arts Plaza Dr
Buckhannon, WV 26201-4698

Other practice location 1

12150 Annapolis Rd Ste 201
Glenn Dale, MD 20769-9183
Phone (301) 352-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240119000273 WV Practitioner - Physical Therapist in Private Practice 9739531336
I20241003000479 DC Practitioner - Physical Therapist in Private Practice 9739531336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence Physical Therapy, LLCGroup PAC ID 3779769971, 10 clinicians

Practice addresses (Care Compare)

7801 Old Branch Ave
Suite 105
Clinton, MD 20735-1641
Phone (301) 856-8386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30038MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Evidence Physical Therapy, LLC Physical Therapist PastSince Oct 1, 2024 Accepting new patients

Locations

7801 Old Branch Ave
Ste 105
Clinton, MD 20735
Phone (301) 352-8370

12150 Annapolis Rd
Ste 201
Glenn Dale, MD 20769
Phone (301) 352-8370

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1912485194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL ARTS PLAZA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262014698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 105",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351641",
            "telephone_number": "301-856-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 Annapolis Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glenn Dale",
            "state": "MD",
            "postal_code": "207699183",
            "country_code": "US",
            "telephone_number": "301-352-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN BARBOSA",
        "first_name": "RAFAELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.