Individual provider Active NPI

Patrick Owen Engle

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1023880002
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1750 Forest Dr Ste 145
Annapolis, MD 21401-4211
Phone
(301) 798-4838
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1750 Forest Dr Ste 145
Annapolis, MD 21401-4211

Mailing address

6802 Littlewood CT
Eldersburg, MD 21784-5952
Phone (443) 826-1496

Other practice location 1

1750 Forest Dr Ste 145
Annapolis, MD 21401-4211
Phone (301) 798-4838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506003133 MD Practitioner - Physical Therapist in Private Practice 3678913787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

1750 Forest Dr
Suite 145
Annapolis, MD 21401-4211
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients

Locations

1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738

1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038

983 Waugh Chapel Way
Ste A
Gambrills, MD 21054

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

1202 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1023880002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 LITTLEWOOD CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845952",
            "telephone_number": "443-826-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FOREST DR STE 145",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014211",
            "telephone_number": "301-798-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Forest Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014211",
            "country_code": "US",
            "telephone_number": "301-798-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "PATRICK",
        "middle_name": "OWEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.