Active NPI
Isaac Ford, PT
- Physical Therapist
- Rockville, MD
National Provider Identifier
1982147575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26259
- Practice address
- 15245 Shady Grove Rd
Suite C-100
Rockville, MD 20850-3222 - Phone
- (301) 417-2652
- Fax
- (301) 417-2653
- NPI assigned
- Nov 30, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26259 | MD | Primary |
Addresses
Primary practice location
15245 Shady Grove Rd
Suite C-100
Rockville, MD 20850-3222
Mailing address
15245 Shady Grove Rd
Suite C-100
Rockville, MD 20850-3222
Phone (301) 417-2652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S Wakara Way
Salt Lake City, UT 84108-1213
Phone (801) 587-9161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26259 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Montgomery Therapy & Wellness LLC | Past | Accepting new patients |
Locations
520 S Wakara Way
Slc, UT 84108
Phone (801) 585-7448
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Geriatric Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1407250202
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Physical Therapy Clinic/Center
- Pikesville, MD
- NPI 1700257862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1982147575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD",
"address_2": "SUITE C-100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503222",
"telephone_number": "301-417-2652",
"fax_number": "301-417-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD",
"address_2": "SUITE C-100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503222",
"telephone_number": "301-417-2652",
"fax_number": "301-417-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ISAAC",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.