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

Takiara Fowlkes

Individual provider Physical Therapist · NPI 1780385575

Takiara Fowlkes is a Physical Therapist in Private Practice in Pikesville, Maryland. Qualified in 2018, 8 years ago. Practices with Maryland Luna Care Physical Therapy LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2023
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Practice location Address checks out

1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone: (443) 360-5527
Fax: (877) 353-0384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29126 (MD)

Record details

NPI number1780385575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Maryland Luna Care Physical Therapy Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pikesville