Individual provider Active NPI

Erin Marie McClanahan

  • Physical Therapist
  • Olney, MD
National Provider Identifier
1093444812
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28988 Issued in MD
Practice address
18221 Village Center Dr
Olney, MD 20832-1416
Phone
(301) 798-7031
NPI assigned
Jun 7, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 28988 MD Primary

Addresses

Primary practice location

18221 Village Center Dr
Olney, MD 20832-1416

Mailing address

18221 Village Center Dr
Olney, MD 20832-1416

Other practice location 1

1407 Research Blvd
Rockville, MD 20850-3159
Phone (240) 813-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220629002912 MD Practitioner - Physical Therapist in Private Practice 5799165379 Reassigns benefits to 2 organizations
I20220629003013 DC Practitioner - Physical Therapist in Private Practice 5799165379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

18221 Village Ctr Dr
Olney, MD 20832-1416
Phone (301) 798-7031

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 21, 2022 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 21, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 21, 2022 Accepting new patients

Locations

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

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

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

18221 Village Center Dr
Olney, MD 20832
Phone (301) 798-7031

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

1407 Research Blvd
Rockville, MD 20850
Phone (240) 813-1856

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1093444812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 VILLAGE CENTER DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 VILLAGE CENTER DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321416",
            "telephone_number": "301-798-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Research Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503159",
            "country_code": "US",
            "telephone_number": "240-813-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.