Individual provider Active NPI

Michelle Angela Jamin, DPT

  • Physical Therapist
  • Abingdon, MD
National Provider Identifier
1922639194
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27817 Issued in MD
Practice address
3435 Box Hill Corporate Center Dr Ste D
Abingdon, MD 21009-1204
Phone
(908) 458-3527
NPI assigned
Jan 28, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 27817 MD Primary

Addresses

Primary practice location

3435 Box Hill Corporate Center Dr Ste D
Abingdon, MD 21009-1204

Mailing address

3435 Box Hill Corporate Center Dr Ste D
Abingdon, MD 21009-1204
Phone (908) 458-3527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200213002167 MD Practitioner - Physical Therapist in Private Practice 3173959988 Reassigns benefits to 1 organization
I20210211001014 VA Practitioner - Physical Therapist in Private Practice 3173959988 Reassigns benefits to 2 organizations
I20220331000111 DE Practitioner - Physical Therapist in Private Practice 3173959988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Biddle Ave
Suite 100
Newark, DE 19702-3982
Phone (908) 458-3527

3435 Box Hill Corporate Ctr Dr
Suite C
Abingdon, MD 21009-1204
Phone (908) 458-3527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27817MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Align Rehabilitation LLC Physical Therapist CurrentSince Feb 2, 2022 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Adaptive Physical Therapy Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

100 Biddle Ave
Ste 100
Newark, DE 19702
Phone (302) 392-1947

1815 W 13th St
Ste 4
Wilmington, DE 19806
Phone (302) 425-5600

3435 Box Hill Corporate Center Dr
Ste C
Abingdon, MD 21009
Phone (410) 569-0707

3435 Box Hill Corporate Center Dr
Ste D
Abingdon, MD 21009
Phone (410) 569-0606

3435 Box Hll Corp Center Dr
Ste C
Abingdon, MD 21009
Phone (908) 458-3527

800 Shenandoah Ave
Ste 140
Elkton, VA 22827
Phone (540) 298-4749

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

100 Founders Way
Ste 1
Strasburg, VA 22657
Phone (540) 465-2505

Organizations & group practices 5

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1922639194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 BOX HILL CORPORATE CENTER DR STE D",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091204",
            "telephone_number": "908-458-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 BOX HILL CORPORATE CENTER DR STE D",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091204",
            "telephone_number": "908-458-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIN",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.