Individual provider Active NPI

Karen Glasoe Mott, RPT

  • Physical Therapist
  • Crofton, MD
National Provider Identifier
1093824955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16116 Issued in MD
Practice address
2200 Defense Hwy
Suite 200
Crofton, MD 21114-2926
Phone
(410) 721-9000
Fax
(410) 721-8185
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16116 MD Primary

Addresses

Primary practice location

2200 Defense Hwy
Suite 200
Crofton, MD 21114-2926

Mailing address

2200 Defense Hwy
Suite 200
Crofton, MD 21114-2926
Phone (410) 721-9000

Other identifiers 6

IdentifierTypeStateIssuer
229967OtherMDMDIPA/OC/MAMSI/APPO
529951OtherMDAETNA HMO
544077-01OtherMDCAREFIRST BC/BS
KY69CROtherMDCAREFIRST BC/BS
R9260003OtherMDCAREFIRST BC/BS FEP
4650653OtherMDAETNA PPO

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101221001098 MD Practitioner - Physical Therapist in Private Practice 3375731029 Reassigns benefits to 1 organization
I20231117000676 DC Practitioner - Physical Therapist in Private Practice 3375731029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2020 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

2006 Industrial Dr
Annapolis, MD 21401
Phone (410) 266-7174

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "SUITE 200",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-9000",
            "fax_number": "410-721-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "SUITE 200",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-9000",
            "fax_number": "410-721-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "KAREN",
        "middle_name": "GLASOE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OC/MAMSI/APPO",
            "identifier": "229967",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "529951",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "544077-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "KY69CR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS FEP",
            "identifier": "R9260003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4650653",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.