Individual provider Active NPI

Alyssa Beskid Fenn, DPT

  • Physical Therapist
  • Edgewater, MD
National Provider Identifier
1124663620
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27750 Issued in MD
Practice address
9 Lee Airpark Dr
Edgewater, MD 21037-1229
Phone
(443) 607-1469
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 27750 MD Primary

Addresses

Primary practice location

9 Lee Airpark Dr
Edgewater, MD 21037-1229

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191206000881 MD Practitioner - Physical Therapist in Private Practice 2264865138 Reassigns benefits to 3 organizations
I20191206001277 DC Practitioner - Physical Therapist in Private Practice 2264865138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Practice addresses (Care Compare)

8109 Ritchie Hwy
Suite 600
Pasadena, MD 21122-6905
Phone (410) 553-3515

Merit-based Incentive Payment System (MIPS)

Final score
72.33 of 100Reported as individual
Quality
28.76
Promoting interoperability
99
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 5, 2019 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 5, 2019 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

161 Jennifer Rd
Ste A
Annapolis, MD 21401

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

1630 Main St
Ste 109
Chester, MD 21619
Phone (410) 604-2424

1630 Main St
Chester, MD 21619
Phone (410) 604-2555

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469

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

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

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

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 6

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1124663620",
    "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",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEE AIRPARK DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371229",
            "telephone_number": "443-607-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "ALYSSA",
        "middle_name": "BESKID",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.