Elana Wise, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

05807 Issued in MD

Practice address

2405 Steele Rd
Baltimore, MD 21209-3924

Phone

(202) 706-5646

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Charm City Therapy

  • Multi-Specialty Clinic/Center
  • Owings Mills, MD
  • NPI 1609204999
  NPD Authorized official
• Foundations ABA LLC

  • Behavior Analyst
  • Owings Mills, MD
  • NPI 1255162434
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1942438148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 STEELE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093924",
            "telephone_number": "202-706-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 STEELE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093924",
            "telephone_number": "202-706-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Gwynns Mill Ct Ste I",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173528",
            "country_code": "US",
            "telephone_number": "410-849-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ELANA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "05807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nizhoni Wirth
• Jacob Michael Wisbeck, MD
• Wise Medical Staffing, Inc.
• Ashley Wise
• Diamond Wise
• Elizabeth Anne Wise, M.D.
• Erica J Wise, DC
• Jarrett Wise, P.A.
• La'Mar Wise
• Lori Suzanne Wise, LCADC

• Pediatric Occupational Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.