Active NPI
Shakyra Cephas
- Physical Therapist
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28636 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Bel Air, MD
- NPI 1205028271
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, MD
- NPI 1952054595
-
- Durable Medical Equipment & Medical Supplies
- Dover, DE
- NPI 1942788179
-
- Durable Medical Equipment & Medical Supplies
- Thorndale, PA
- NPI 1174140073
-
- Durable Medical Equipment & Medical Supplies
- West Grove, PA
- NPI 1174715072
-
- Durable Medical Equipment & Medical Supplies
- Wilmington, DE
- NPI 1194918045
-
- Durable Medical Equipment & Medical Supplies
- Milford, DE
- NPI 1609015700
-
- Durable Medical Equipment & Medical Supplies
- Newark, DE
- NPI 1790977767
-
- Durable Medical Equipment & Medical Supplies
- Rehoboth Beach, DE
- NPI 1982941787
-
- Durable Medical Equipment & Medical Supplies
- Forest Hill, MD
- NPI 1013109099
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.