Individual provider Active NPI

Kuang Yuan Hsieh, DPT

  • Physical Therapist
  • Elkridge, MD
National Provider Identifier
1194062612
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24289 Issued in MD
Practice address
6785 Business Pkwy
Elkridge, MD 21075-6353
Phone
(410) 579-8999
Fax
(410) 401-0441
NPI assigned
Jan 4, 2013
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 24289 MD Primary

Addresses

Primary practice location

6785 Business Pkwy
Elkridge, MD 21075-6353

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130213000206 MD Practitioner - Physical Therapist in Private Practice 7911151329 Reassigns benefits to 3 organizations
I20220506001109 DC Practitioner - Physical Therapist in Private Practice 7911151329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians
Glen Burnie Physical Therapy and Sportscare LLCGroup PAC ID 0042102592, 25 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

2634 Brandermill Blvd
Gambrills, MD 21054-1651
Phone (410) 721-7201

3708 Mountain Rd
Suite D
Pasadena, MD 21122-2025
Phone (410) 255-4833

6785 Business Pkwy
Elkridge, MD 21075-6353
Phone (410) 579-8999

8420 Bayside Rd
Chesapeake Beach, MD 20732-3309
Phone (443) 964-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24289MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 10, 2018 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Feb 10, 2014 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince May 18, 2019 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Feb 10, 2014 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince May 18, 2019 Accepting new patients

Locations

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

6785 Business Pkwy
Elkridge, MD 21075
Phone (410) 579-8999

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

2634 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 721-7201

7711 Quarterfield Rd
Ste C2
Glen Burnie, MD 21061
Phone (410) 487-6447

14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 5

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1194062612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 BUSINESS PKWY",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756353",
            "telephone_number": "410-579-8999",
            "fax_number": "410-401-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "KUANG",
        "middle_name": "YUAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

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