Individual provider Active NPI

Stephanie McKay, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1114205911
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23725 Issued in MD
Practice address
10705 Charter Dr Ste 420
Columbia, MD 21044-2800
Phone
(443) 283-2018
Fax
(443) 283-0628
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 23725 MD Primary

Addresses

Primary practice location

10705 Charter Dr Ste 420
Columbia, MD 21044-2800

Mailing address

10705 Charter Dr Ste 420
Columbia, MD 21044-2800
Phone (443) 283-2018

Other practice location 1

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401-3742
Phone (410) 295-8900 ext. 3318

Other names 1

  • Stephanie Deming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000269 MD Practitioner - Physical Therapist in Private Practice 4486801958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 7618984162, 7 clinicians

Practice addresses (Care Compare)

8165 Cyprus Cedar Lane
Suite 205
Ellicott City, MD 21043-5559
Phone (410) 799-0818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23725MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Physical Therapist CurrentSince May 4, 2025 Accepting new patients
Elite Physical Therapy LLC Physical Therapist CurrentSince Nov 9, 2021 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

6801 Douglas Legum Dr
Ste B
Elkridge, MD 21075
Phone (410) 799-0818

8165 Cyprus Cedar Ln
Ste 205
Ellicott City, MD 21043
Phone (410) 799-0818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114205911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 420",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442800",
            "telephone_number": "443-283-2018",
            "fax_number": "443-283-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 420",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442800",
            "telephone_number": "443-283-2018",
            "fax_number": "443-283-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Medical Pkwy",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013742",
            "country_code": "US",
            "telephone_number": "410-295-8900 x3318",
            "fax_number": "410-280-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DEMING",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.