Active NPI
Eric Elue, PT, DPT
- Orthopedic Physical Therapist
- Baltimore, MD
National Provider Identifier
1942049465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 29936
- Practice address
- 1419 Knecht Ave
Baltimore, MD 21227-1415 - Phone
- (410) 247-9595
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 29936 | MD | Primary |
Addresses
Primary practice location
1419 Knecht Ave
Baltimore, MD 21227-1415
Mailing address
9112 Briarchip St
Laurel, MD 20708-1304
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29936 | MD | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1942049465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9112 BRIARCHIP ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207081304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 KNECHT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212271415",
"telephone_number": "410-247-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELUE",
"first_name": "ERIC",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "29936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.