Individual provider Active NPI

Jeannie Marie Eshleman, PTA

  • Physical Therapy Assistant
  • Towson, MD
National Provider Identifier
1952175291
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2547 Issued in MD
Practice address
200 E Joppa Rd
Towson, MD 21286-3150
Phone
(410) 967-4691
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2547 MD Primary

Addresses

Primary practice location

200 E Joppa Rd
Towson, MD 21286-3150

Mailing address

200 E Joppa Rd Ste Ll102
Towson, MD 21286-3105
Phone (410) 967-4691

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

LicenseStateTypeSpecialty
A2547MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
To the Core Physical Therapy & Conditioning, LLC CurrentSince Nov 12, 2023 Accepting new patients
Origin Physical Therapy FL PLLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

200 E Joppa Rd
Ste LL102
Towson, MD 21286
Phone (410) 967-4691

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1952175291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD STE LL102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863105",
            "telephone_number": "410-967-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863150",
            "telephone_number": "410-967-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHLEMAN",
        "first_name": "JEANNIE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.