Active NPI
Red Canyon, LLC
- Physical Therapist
- Catonsville, MD
National Provider Identifier
1154228765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RED CANYON, LLC
- Practice address
- 21 Mellor Ave
Catonsville, MD 21228-5106 - Phone
- (667) 547-1821
- NPI assigned
- Oct 26, 2026
- Last updated
- Oct 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew T Rosewag
- Title
- PT, Owner
- Phone
- (410) 730-3399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
21 Mellor Ave
Catonsville, MD 21228-5106
Mailing address
21 Mellor Ave
Catonsville, MD 21228-5106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Elkridge, MD
- NPI 1659820934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792972800000",
"number": "1154228765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MELLOR AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MELLOR AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285106",
"telephone_number": "667-547-1821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED CANYON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-26",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A",
"authorized_official_last_name": "ROSEWAG",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PT, OWNER",
"authorized_official_telephone_number": "410-730-3399"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.