Christina Marie Penny – Physical Therapist

Key facts

NPI: 1013262799
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 24096 (MD)
Practice address: 11350 McCormick Rd
Ep IV Suite LL12
Hunt Valley, MD 21031-1002
Phone: (410) 527-1794
Fax: (410) 527-9467
NPI assigned: Jul 18, 2012
Sex: Female
Sole proprietor: No

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.

WP-PT LLC Physical Therapist · Lutherville, MD · NPI 1043663206

Medicare reassignment Care Compare group NPD MD · PHYSICAL THERAPIST
Active Life & Sports Therapy LLC Physical Therapist · Nottingham, MD · NPI 1396836052

Medicare reassignment NPD MD · PHYSICAL THERAPIST
WP-PT LLC Physical Therapy Clinic/Center · Jacksonville, MD · NPI 1982356671

NPD
Peake Physical Therapy Inc Physical Therapist · Hunt Valley, MD · NPI 1780732982

NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: WP-PT, LLC (10 clinicians)

Practice addresses (Care Compare)

1447 York Rd
Suite 401
Lutherville, MD 21093-6063
Phone (410) 529-3303

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20120820000077	MD	Practitioner - Physical Therapist in Private Practice	3779739123	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Active Life & Sports Therapy LLC	Physical Therapist	Current since Jan 1, 2014	Accepting new patients
WP-PT LLC	Physical Therapist	Current since Oct 1, 2016	Accepting new patients
WP-PT LLC		Current	Accepting new patients
Peake Physical Therapy Inc	Physical Therapist	Past since Jul 5, 2022	Accepting new patients

Locations

1447 York Rd
Ste 401
Lutherville Timonium, MD 21093
Phone (410) 842-0115

4337 Ebenezer Rd
Nottingham, MD 21236
Phone (410) 529-3003

3411 Sweet Air Rd
#A
Phoenix, MD 21131
Phone (410) 847-5352

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	24096	MD	Yes

Addresses

Primary practice location

11350 McCormick Rd
Ep IV Suite LL12
Hunt Valley, MD 21031-1002

Mailing address

11350 McCormick Rd
Ep IV Suite LL12
Hunt Valley, MD 21031-1002
Phone (410) 527-1794

Other providers in Hunt Valley, MD

All providers in Hunt Valley, MD · Physical Therapist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.