Individual provider Active NPI

Max McCloskey, DPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1225696297
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27476 Issued in MD
Practice address
801 Toll House Ave Ste H3
Frederick, MD 21701-6117
Phone
(240) 575-9260
Fax
(240) 575-9380
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 27476 MD Primary

Addresses

Primary practice location

801 Toll House Ave Ste H3
Frederick, MD 21701-6117

Mailing address

801 Toll House Ave Ste H3
Frederick, MD 21701-6117
Phone (240) 575-9260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190716003065 MD Practitioner - Physical Therapist in Private Practice 4183959968 Reassigns benefits to 1 organization
I20221130001507 WV Practitioner - Physical Therapist in Private Practice 4183959968 Reassigns benefits to 1 organization

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
Red Canyon LLCGroup PAC ID 1052618352, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

5801 Williamsport Pike
Suite 200
Martinsburg, WV 25404-6590
Phone (304) 249-1599

801 Toll House Ave
Suite H3
Frederick, MD 21701-6117
Phone (240) 575-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27476MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Canyon, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Red Canyon, LLC Physical Therapist Current Accepting new patients
Red Canyon, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Red Canyon, LLC Physical Therapist PastSince Mar 13, 2022 Accepting new patients

Locations

801 Toll House Ave
Ste H3
Frederick, MD 21701
Phone (240) 575-9260

110 Baughmans Ln
Ste 160
Frederick, MD 21702
Phone (240) 651-1335

5801 Williamsport Pike
Ste 200
Martinsburg, WV 25404
Phone (304) 244-5442

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1225696297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9260",
            "fax_number": "240-575-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9260",
            "fax_number": "240-575-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "MAX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27476",
            "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 Jun 4, 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.