Individual provider Active NPI

Erin Elizabeth Imbraguglio, DPT

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1962159137
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29011 Issued in MD
Practice address
844 Washington Rd
Westminster, MD 21157-6664
Phone
(410) 876-5600
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215075 VA
Physical Therapist 225100000X 29011 MD Primary

Addresses

Primary practice location

844 Washington Rd
Westminster, MD 21157-6664

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (708) 628-2227

Other practice location 1

2319 Hanover Pike Ste G
Hampstead, MD 21074-1137
Phone (410) 374-0925

Other names 1

  • Erin Elizabeth Moberly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220712000651 MD Practitioner - Physical Therapist in Private Practice 8426438151 Reassigns benefits to 1 organization
I20220712000771 DC Practitioner - Physical Therapist in Private Practice 8426438151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

2319 Hanover Pike
Suite G
Hampstead, MD 21074-1137
Phone (410) 374-0925

25 Main St
Suite a
Reisterstown, MD 21136-1248
Phone (410) 833-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215075VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 29, 2022 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 29, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

17750 Creamery Rd
Ste B7
Emmitsburg, MD 21727
Phone (301) 447-1670

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

2319 Hanover Pike
Ste G
Hampstead, MD 21074
Phone (410) 374-0925

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

410 Meadow Creek Dr
Ste 106
Westminster, MD 21158
Phone (410) 861-5487

844 Washington Rd
Ste 101
Westminster, MD 21157

844 Washington Rd
Westminster, MD 21157
Phone (410) 578-1094

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962159137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "708-628-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-876-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Hanover Pike Ste G",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "MD",
            "postal_code": "210741137",
            "country_code": "US",
            "telephone_number": "410-374-0925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMBRAGUGLIO",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215075",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MOBERLY",
            "middle_name": "ELIZABETH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.