Individual provider Active NPI

Jillian Fichman, DPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1922342971
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24300 Issued in MD
Practice address
100 White Marsh Park Dr
Bowie, MD 20715-4361
Phone
(301) 262-5852
Fax
(301) 262-3173
NPI assigned
Nov 15, 2012
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 24300 MD Primary

Addresses

Primary practice location

100 White Marsh Park Dr
Bowie, MD 20715-4361

Mailing address

PO Box 4058
Crofton, MD 21114-4058
Phone (410) 315-9080

Other names 1

  • Jillian Lipton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000927 MD Practitioner - Physical Therapist in Private Practice 5991942088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2 WS LLCGroup PAC ID 4183877277, 5 clinicians

Practice addresses (Care Compare)

156 Ritchie Hwy
Suite 100
Severna Park, MD 21146-1132
Phone (410) 544-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24300MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
2 WS LLC CurrentSince Nov 8, 2024 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist PastSince Sep 20, 2020 Accepting new patients

Locations

156 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 279-0654

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1922342971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4058",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144058",
            "telephone_number": "410-315-9080",
            "fax_number": "410-315-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHITE MARSH PARK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154361",
            "telephone_number": "301-262-5852",
            "fax_number": "301-262-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHMAN",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "LIPTON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 1, 2016; 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.