Individual provider Active NPI

Carrie Marie Bennett, DPT

  • Physical Therapist
  • Cumberland, MD
National Provider Identifier
1053810333
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26705 Issued in MD
Practice address
14302 Barton Blvd SW Ste 201
Cumberland, MD 21502
Phone
(240) 362-7442
Fax
(240) 362-7448
NPI assigned
Feb 1, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 26705 MD Primary

Addresses

Primary practice location

14302 Barton Blvd SW Ste 201
Cumberland, MD 21502

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other names 1

  • Carrie Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180323000285 DC Practitioner - Physical Therapist in Private Practice 1153683545 Reassigns benefits to 2 organizations
I20180828000186 MD Practitioner - Physical Therapist in Private Practice 1153683545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12090 Old Line Ctr
Suite R10A
Waldorf, MD 20602-2556
Phone (301) 498-0333

12414 Naves Cross Rd NE
Cumberland, MD 21502-8212
Phone (240) 808-8482

14201 Park Ctr Dr
Suite 410
Laurel, MD 20707-5251
Phone (301) 498-0383

2021 K St NW
Suite 615
Washington, DC 20006-1066
Phone (301) 498-0383

309 Willowbrook Rd
Suite 2
Cumberland, MD 21502-3881
Phone (301) 777-2170

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jan 3, 2018 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2023 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 3, 2018 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295

14302 Barton Blvd SW
#201
Cumberland, MD 21502
Phone (301) 825-8105

14302 Barton Blvd SW
Ste 201
Cumberland, MD 21502
Phone (240) 362-7442

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

Organizations & group practices 5

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1053810333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 BARTON BLVD SW STE 201",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-362-7442",
            "fax_number": "240-362-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.