Individual provider Active NPI

Stephen Robert Eaton

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1104604545
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30004 Issued in MD
Practice address
7140 Contee Rd Ste 3000
Laurel, MD 20707-9532
Phone
(410) 448-6400
Fax
(240) 636-9790
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 30004 MD Primary

Addresses

Primary practice location

7140 Contee Rd Ste 3000
Laurel, MD 20707-9532

Mailing address

PO Box 64134
Baltimore, MD 21264-4134
Phone (667) 214-2714

Other practice location 1

2 Loveton Cir
Sparks Glencoe, MD 21152-9273
Phone (410) 472-7091

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250128003931 DC Practitioner - Physical Therapist in Private Practice 7113456658 Reassigns benefits to 1 organization
I20250128004390 MD Practitioner - Physical Therapist in Private Practice 7113456658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Orthopaedic Associates PAGroup PAC ID 0042108722, 68 clinicians

Practice addresses (Care Compare)

351 W Camden St
Suite 510
Baltimore, MD 21201-7912
Phone (667) 214-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30004MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Associates P a CurrentSince Dec 1, 2024 Accepting new patients
University of Maryland Orthopaedic Associates PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

351 W Camden St
Ste 510
Baltimore, MD 21201
Phone (667) 214-2732

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

7140 Contee Rd
Ste 3000
Laurel, MD 20707
Phone (667) 214-2732

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1104604545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64134",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644134",
            "telephone_number": "667-214-2714",
            "fax_number": "410-448-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 CONTEE RD STE 3000",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079532",
            "telephone_number": "410-448-6400",
            "fax_number": "240-636-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Loveton Cir",
            "address_purpose": "LOCATION",
            "city": "Sparks Glencoe",
            "state": "MD",
            "postal_code": "211529273",
            "country_code": "US",
            "telephone_number": "410-472-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.