Active NPI
Nicholas Rose, DPT
- Physical Therapist
- Clarksville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30473
- Practice address
- 12447 Clarksville Pike Ste 2C
Clarksville, MD 21029-1243 - Phone
- (410) 982-6251
- Fax
- (410) 982-6263
- NPI assigned
- Jun 27, 2025
- Last updated
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30473 | MD | Primary |
Addresses
Primary practice location
12447 Clarksville Pike Ste 2C
Clarksville, MD 21029-1243
Mailing address
2470 Longstone LN Ste a
Marriottsville, MD 21104-1516
Phone (410) 982-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12447 Clarksville Pike
Suite 2C
Clarksville, MD 21029-1568
Phone (410) 982-6251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30473 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCPT LLC | Physical Therapist | Current | Accepting new patients |
Locations
1438 Liberty Rd
Ste 10A
Eldersburg, MD 21784
Phone (410) 982-6251
2470 Longstone Ln
Ste A
Marriottsville, MD 21104
Phone (410) 982-6251
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": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1083502850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 LONGSTONE LN STE A",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041516",
"telephone_number": "410-982-6251",
"fax_number": "410-982-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12447 CLARKSVILLE PIKE STE 2C",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291243",
"telephone_number": "410-982-6251",
"fax_number": "410-982-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "NICHOLAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.