NPIMap

Individual provider Active NPI

Amy Rebecca Hauerstein, MSPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1184891509
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21963 Issued in MD
Practice address
7211 Bank CT Ste 120
Frederick, MD 21703-8479
Phone
(240) 215-1425
NPI assigned
May 14, 2008
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 19792 FL
Physical Therapist 225100000X 21963 MD Primary

Addresses

Primary practice location

7211 Bank CT Ste 120
Frederick, MD 21703-8479

Mailing address

9414 Kinnerton PL
Frederick, MD 21704-7357
Phone (252) 571-4737

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530000170 DC Practitioner - Physical Therapist in Private Practice 2466522230 Reassigns benefits to 1 organization
I20260116000353 MD Practitioner - Physical Therapist in Private Practice 2466522230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

10082 Tyler CT
Suite C
Ijamsville, MD 21754-8709
Phone (240) 341-4995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 19792FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Dec 15, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 10, 2019 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 10, 2019 Accepting new patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist PastSince Jan 13, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Havelock Peak Performance Sports & Physical Therapy, LLC Physical Therapist PastSince May 23, 2011 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330

20410 Observation Dr
Ste 205
Germantown, MD 20876
Phone (301) 528-8096

10082 Tyler Ct
Ste C
Ijamsville, MD 21754
Phone (240) 341-4995

3300 Olney Sandy Spring Rd
Ste 300
Olney, MD 20832
Phone (301) 260-8383

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1184891509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 KINNERTON PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047357",
            "telephone_number": "252-571-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BANK CT STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038479",
            "telephone_number": "240-215-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUERSTEIN",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 19792",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.