Red Canyon LLC
A Medicare group practice based in Frederick, MD: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 1052618352), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052618352
- Provider type
- Part B Supplier - Physical/Occupational Therapy Group in Private Practice
- Enrolled in
- MD, WV
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20160331002359 | MD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1952768673 |
| O20210915001754 | WV | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1841872405 |
NPIs in this group 7
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Red Canyon, LLC
- Physical Therapist
- Martinsburg, WV
- NPI 1841872405
-
Red Canyon, LLC
- Physical Therapist
- Frederick, MD
- NPI 1952768673
-
Red Canyon, LLC
- Physical Therapist
- Frederick, MD
- NPI 1134660954
-
Red Canyon, LLC
- Physical Therapist
- Towson, MD
- NPI 1215565957
-
Red Canyon, LLC
- Physical Therapy Clinic/Center
- Columbia, MD
- NPI 1366007338
-
Red Canyon, LLC
- Physical Therapist
- Hagerstown, MD
- NPI 1407361157
-
Red Canyon, LLC
- Physical Therapy Clinic/Center
- Owings Mills, MD
- NPI 1609431675
Practice locations
- Frederick, MD3
- Hagerstown, MD1
- Columbia, MD1
- Urbana, MD1
- Martinsburg, WV1
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (11).
-
Jennifer Alicia Alcott, DPT
- Physical Therapist
- Catonsville, MD
- NPI 1235868316
-
Brittany Benachowski, DPT
- Physical Therapist
- Hagerstown, MD
- NPI 1992560742
-
Rowan Bennett
- Physical Therapist
- Frederick, MD
- NPI 1457230369
-
Brittany Nicole Bull, DPT
- Physical Therapist
- Glen Burnie, MD
- NPI 1699020016
-
Maria Louise Caccamise, DPT
- Physical Therapist
- Mount Airy, MD
- NPI 1275833535
-
Nicholas Contardi, DPT
- Physical Therapist
- Frederick, MD
- NPI 1285203588
-
Amanda Crecelius, DPT
- Physical Therapist
- Owings Mills, MD
- NPI 1740916329
-
Morgan Creehan
- Physical Therapist
- Frederick, MD
- NPI 1790362846
-
Gillian Charlene Diestel, PT, DPT
- Physical Therapist
- Camp Pendleton, CA
- NPI 1679054282
-
Sarah Cecilia Falvey, DPT
- Physical Therapist
- Baltimore, MD
- NPI 1912055351
-
Dereck Ivey
- Physical Therapist
- Frederick, MD
- NPI 1447182845
-
Seungye Jeon
- Physical Therapist
- Gaithersburg, MD
- NPI 1063835494
-
Heidi Johnston
- Physical Therapist
- MC Connellsburg, PA
- NPI 1437508827
-
Fabian Lopez, PT
- Physical Therapist
- Frederick, MD
- NPI 1326851437
-
Max McCloskey, DPT
- Physical Therapist
- Frederick, MD
- NPI 1225696297
-
Matthew T Rosewag, PT
- Physical Therapist
- Elkridge, MD
- NPI 1659820934
-
Dexter A Te, PT
- Physical Therapist
- Nottingham, MD
- NPI 1780610188
-
Brian Ira Weisman, PT
- Physical Therapist
- Frederick, MD
- NPI 1992711634
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.