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NPI 1538604640ActiveOrganization· Physical Therapist· Owings Mills, MD

Physical Therapist in Owings Mills, Maryland, registered in NPPES in December 2016. The authorized official on file is Michelle Wike, Don.

Overview

NPI1538604640
StatusActive
Entity typeOrganization
NPI issuedDec 28, 2016
Last updated in NPPESAug 31, 2021
Certified by providerAug 31, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Occupational Therapy Assistant224Z00000X——
Occupational Therapy Assistant, Environmental Modification224ZE0001X——
Occupational Therapy Assistant, Feeding, Eating & Swallowing224ZF0002X——
Physical Therapist, Cardiopulmonary2251C2600X——
Physical Therapist, Geriatrics2251G0304X——
Physical Therapist, Pediatrics2251P0200X——
Physical Therapy Assistant225200000X——
Occupational Therapist225X00000X——
Occupational Therapist, Environmental Modification225XE0001X——
Occupational Therapist, Feeding, Eating & Swallowing225XF0002X——
Occupational Therapist, Pediatrics225XP0200X——
Speech-Language Pathologist235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in Owings Mills

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