Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Efrahim Antonio Fernandez

Individual provider Specialist · NPI 1942886908

Mr. Efrahim Antonio Fernandez is a Physical Therapist in Private Practice in Ellicott City, Maryland. Graduated from Howard University College of Medicine in 1991, 35 years ago. Practices with Centennial Medical Group, PA, a 34-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
35
Trained at
Howard University College of Medicine
Licensed in
MD
In the registry since
2021

Practice location Address checks out

10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone: (410) 730-3399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6250 Old Dobbin Ln, Columbia, MD 21045-5816 — (410) 730-3399
  • 10981 Johns Hopkins Rd, Laurel, MD 20723-6002 — (410) 730-3399

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20501 (MD)

Record details

NPI number1942886908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2021
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Centennial Medical Group, Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ellicott City