Individual provider Active NPI

Carolyn Brunetto Hughes, DPT, CLT

  • Specialist
  • Annapolis, MD
National Provider Identifier
1013969070
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21563 Issued in MD
Practice address
132 Holiday CT
Suite 203
Annapolis, MD 21401-7005
Phone
(410) 573-9930
Fax
(410) 573-9932
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21563 MD Primary

Addresses

Primary practice location

132 Holiday CT
Suite 203
Annapolis, MD 21401-7005

Mailing address

12 Severn Ave
Annapolis, MD 21403-2610
Phone (410) 703-4307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000582 MD Practitioner - Physical Therapist in Private Practice 1557366309 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Severna Park Physical Therapy Inc. CurrentSince Aug 1, 2021 Accepting new patients
Stay Home Safely, LLC CurrentSince Jan 30, 2022 Accepting new patients
Kinetic Physical Therapy, Inc PastSince Mar 11, 2013 Accepting new patients

Locations

844 Ritchie Hwy
Ste 208
Severna Park, MD 21146
Phone (410) 481-1140

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013969070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SEVERN AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032610",
            "telephone_number": "410-703-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HOLIDAY CT",
            "address_2": "SUITE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017005",
            "telephone_number": "410-573-9930",
            "fax_number": "410-573-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CAROLYN",
        "middle_name": "BRUNETTO",
        "name_prefix": "Mrs.",
        "credential": "DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.