Individual provider Active NPI

Michael Francis Stevens, PT CERT MDT

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1093828295
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17927 Issued in MD
Practice address
2021A Emmorton Rd
Bel Air, MD 21015-8962
Phone
(410) 515-0006
Fax
(410) 515-0027
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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 17927 MD Primary

Addresses

Primary practice location

2021A Emmorton Rd
Bel Air, MD 21015-8962

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 6

IdentifierTypeStateIssuer
1093828295OtherTRICARE
3512475000OtherIBC AMERIHEALTH
10764015OtherCAQH
214882OtherJOHNS HOPKINS
5070-0101OtherMDGHMSI
88760511OtherMDBC MARYLAND

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080404000323 MD Practitioner - Physical Therapist in Private Practice 0547347213 Reassigns benefits to 2 organizations
I20190820002338 DC Practitioner - Physical Therapist in Private Practice 0547347213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2021 -A Emmorton Rd
110 Ati Physical Therapy
Bel Air, MD 21015-8914
Phone (410) 515-0006

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

6842 Race Track Rd B
Bowie, MD 20715-3011
Phone (240) 544-0200

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17927MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 1, 2007 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 1, 2007 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3491 Merchants Blvd
Ste 108
Abingdon, MD 21009
Phone (443) 625-5370

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009
Phone (410) 569-4806

225 Brierhill Dr
Ste A
Bel Air, MD 21015
Phone (667) 276-3093

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

1321 Riverside Pkwy
Ste A2
Belcamp, MD 21017
Phone (443) 327-7449

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

360 E Pulaski Hwy
Ste 5B
Elkton, MD 21921
Phone (410) 398-1690

12 Commercial Plz
Elkton, MD 21921

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

117 Orville Rd
Essex, MD 21221
Phone (410) 668-2270

2315 Bel Air Rd
Ste C3
Fallston, MD 21047
Phone (443) 417-2499

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

2314 Pulaski Hwy
#A
North East, MD 21901
Phone (410) 287-2940

4853 Pulaski Hwy
Ste 315
Perryville, MD 21903
Phone (443) 693-8000

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1093828295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021A EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158962",
            "telephone_number": "410-515-0006",
            "fax_number": "410-515-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "PT CERT MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1093828295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEALTH",
            "identifier": "3512475000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10764015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "214882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "5070-0101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MARYLAND",
            "identifier": "88760511",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.