Active NPI
Francisco Ceballos III
- Geriatric Physical Therapist
- Rosedale, MD
National Provider Identifier
1972734127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 21866
- Practice address
- 8743 Jarwood Rd
Rosedale, MD 21237-3866 - Phone
- (862) 686-1297
- NPI assigned
- Aug 6, 2009
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 21866 | MD | Primary |
Addresses
Primary practice location
8743 Jarwood Rd
Rosedale, MD 21237-3866
Mailing address
8743 Jarwood Road
Rosedale, MD 21237
Phone (862) 686-1297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21866 | Other | MD | MARYLAND PT LICENSE |
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 |
|---|---|---|---|
| 21866 | MD | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1972734127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8743 JARWOOD ROAD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "862-686-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8743 JARWOOD RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373866",
"telephone_number": "862-686-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "FRANCISCO",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MD",
"license": "21866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PT LICENSE",
"identifier": "21866",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.