Individual provider Active NPI

Corinne A Roth, P.T.

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1962490342
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20760 Issued in MD
Practice address
2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone
(410) 377-8900
Fax
(410) 377-3156
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20760 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230

Mailing address

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone (410) 377-8900

Other names 1

  • Corinne A Feroldi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615001041 MD Practitioner - Physical Therapist in Private Practice 1355385881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Megan Rich Physical TherapyGroup PAC ID 3779507694, 12 clinicians

Practice addresses (Care Compare)

9492 Deereco Rd
Timonium, MD 21093-2102
Phone (410) 308-7182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20760MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Motion Inc Physical Therapist Current Accepting new patients
Megan Rich Physical Therapy Physical Therapist CurrentSince May 6, 2014 Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients

Locations

9492 Deereco Rd
Timonium, MD 21093
Phone (410) 308-7182

Organizations & group practices 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1962490342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092230",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092230",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CORINNE",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "FEROLDI",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 22, 2008; 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.