Elisabeth Jakobsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18898 Issued in MD

Practice address

8174 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6426

Phone

(410) 799-9988

Fax

(410) 799-9986

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039
  Medicare reassignment Care Compare group NPD
• Centennial Medical Group, PA

  • General Practice Physician
  • Gambrills, MD
  • NPI 1306477849
  NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766
  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1932195872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD",
            "address_2": "STE 201",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756434",
            "telephone_number": "410-730-3399",
            "fax_number": "443-478-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8174 LARK BROWN RD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756426",
            "telephone_number": "410-799-9988",
            "fax_number": "410-799-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBSEN",
        "first_name": "ELISABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "6545-0013",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7857450",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3291921",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2107250",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.