Individual provider Active NPI

Joseph Regan

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1194941740
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
192 Halpine Rd Ste D
Rockville, MD 20852-7645
Phone
(240) 514-2400
Fax
(301) 816-6968
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 PT007332L PA
Physical Therapist 225100000X MD Primary

Addresses

Primary practice location

192 Halpine Rd Ste D
Rockville, MD 20852-7645

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

2250 Hickory Rd
Suite 240
Plymouth Meeting, PA 19462-1047
Phone (610) 834-1122

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181220002711 DC Practitioner - Physical Therapist in Private Practice 0345585220 Reassigns benefits to 2 organizations
I20250212000171 MD Practitioner - Physical Therapist in Private Practice 0345585220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

192 Halpine Rd
Suite D
Rockville, MD 20852-7645
Phone (240) 514-2400

435 E Ridgeville Blvd
Ati Physical Therapy
Mount Airy, MD 21771-5217
Phone (240) 732-2334

9701 Veirs Dr
Rockville, MD 20850-3414
Phone (888) 531-2204

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23009MDMDSchool Social Worker
PT007332LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4611 Sangamore Rd
Ste G
Bethesda, MD 20816
Phone (240) 802-5199

15630 Old Columbia Pike
Ste F
Burtonsville, MD 20866
Phone (240) 559-5270

22750 Newcut Rd
Ste D1
Clarksburg, MD 20871
Phone (301) 250-2146

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

9156 Rothbury Dr
Gaithersburg, MD 20886
Phone (240) 690-7595

21030 Frederick Rd
Ste 1038
Germantown, MD 20876
Phone (240) 243-0048

18302 Contour Rd
Montgomery Village, MD 20877
Phone (240) 912-2060

435 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (240) 732-2334

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400

10060 Darnestown Rd
Rockville, MD 20850
Phone (240) 238-0403

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 4

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1194941740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 HALPINE RD STE D",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208527645",
            "telephone_number": "240-514-2400",
            "fax_number": "301-816-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Rd",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621047",
            "country_code": "US",
            "telephone_number": "610-834-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007332L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.