Individual provider Active NPI

Maria P Brown, P.T.

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1053585091
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16156 Issued in MD
Practice address
19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484
Phone
(301) 714-0700
Fax
(301) 714-0703
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 16156 MD Primary

Addresses

Primary practice location

19733 Leitersburg Pike Ste 102
Hagerstown, MD 21742-1484

Mailing address

19737 Leitersburg Pike
Suite B
Hagerstown, MD 21742-1508
Phone (240) 420-0859

Other identifiers 1

IdentifierTypeStateIssuer
690700800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16156MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Rehab Inc Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

188 Eastern Blvd N
Hagerstown, MD 21740
Phone (301) 714-0700

19733 Leitersburg Pike
Ste 102
Hagerstown, MD 21742
Phone (301) 714-0700

19737 Leitersburg Pike
Ste B
Hagerstown, MD 21742
Phone (301) 714-0700

Organizations & group practices 1

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1053585091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19737 LEITERSBURG PIKE",
            "address_2": "SUITE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421508",
            "telephone_number": "240-420-0859",
            "fax_number": "240-420-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19733 LEITERSBURG PIKE STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421484",
            "telephone_number": "301-714-0700",
            "fax_number": "301-714-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690700800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.