Individual provider Active NPI

Shakyra Cephas

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1245992148
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14190A Baltimore Ave
Laurel, MD 20707-5007
Phone
(240) 542-5924
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 Primary

Addresses

Primary practice location

14190A Baltimore Ave
Laurel, MD 20707-5007

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101000898 DC Practitioner - Physical Therapist in Private Practice 4587052121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLC 440 clinicians

Practice addresses (Care Compare)

14190 A-B Baltimore Ave
Ati Physical Therapy
Laurel, MD 20707-5098
Phone (240) 542-5924

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
28636MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Ati Holdings, LLC PastSince Oct 10, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

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

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

7567 Greenbelt Rd
Greenbelt, MD 20770
Phone (301) 479-1008

2900 Belcrest Center Dr
Ste 104A
Hyattsville, MD 20782
Phone (301) 276-3295

14190 Baltimore Ave
#A
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
Ste B
Laurel, MD 20707
Phone (240) 542-5924

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

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1245992148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14190A BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075007",
            "telephone_number": "240-542-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPHAS",
        "first_name": "SHAKYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.