Individual provider Active NPI

Stacey Lynn Schorr, DPT

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1285940122
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23364 Issued in MD
Practice address
2021A Emmorton Rd
Suite 110
Bel Air, MD 21015-8962
Phone
(410) 515-0006
Fax
(410) 515-0027
NPI assigned
Aug 30, 2010
Last updated
May 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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 23364 MD Primary

Addresses

Primary practice location

2021A Emmorton Rd
Suite 110
Bel Air, MD 21015-8962

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
P01304981OtherMDMCRR

Other names 1

  • Stacey Lynn Pokrywka Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000635 MD Practitioner - Physical Therapist in Private Practice 2860680824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

2304 E Churchville Rd
Bel Air, MD 21015-1721
Phone (410) 734-6556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23364MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist CurrentSince Aug 5, 2014 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

2103 Laurel Bush Rd
Ste C
Bel Air, MD 21015
Phone (410) 569-2626

2304 E Churchville Rd
Bel Air, MD 21015
Phone (410) 734-6556

6 Barnes Corner Rd
Colora, MD 21917
Phone (410) 658-6616

3938 Conowingo Rd
Darlington, MD 21034
Phone (410) 457-2930

216 Mountain Rd
Fallston, MD 21047
Phone (410) 877-0222

12 Newport Dr
Ste A
Forest Hill, MD 21050
Phone (410) 838-6808

7468 Candlewood Rd
Ste H3
Hanover, MD 21076
Phone (410) 684-5642

1035 Pulaski Hwy
Ste 107A
Havre de Grace, MD 21078
Phone (443) 843-1003

1411 S Mountain Rd
Joppa, MD 21085
Phone (410) 676-6767

5301 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-9800

12 Mount Carmel Rd
Parkton, MD 21120
Phone (410) 357-0070

1388 Progress Way
Sykesville, MD 21784
Phone (410) 552-9996

4105 Norrisville Rd
Unit 7
White Hall, MD 21161
Phone (410) 692-2941

Organizations & group practices 2

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1285940122",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021A EMMORTON RD",
            "address_2": "SUITE 110",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158962",
            "telephone_number": "410-515-0006",
            "fax_number": "410-515-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P01304981",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "POKRYWKA",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.