Individual provider Active NPI

Brooke May Stevens, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1306429253
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28272 Issued in MD
Practice address
5840 Banneker Rd Ste 230
Columbia, MD 21044-3116
Phone
(410) 884-0003
Fax
(410) 884-0002
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 28272 MD Primary

Addresses

Primary practice location

5840 Banneker Rd Ste 230
Columbia, MD 21044-3116

Mailing address

5840 Banneker Rd Ste 230
Columbia, MD 21044-3116
Phone (410) 884-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28272MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beat Rehabilitation and Wellness, LLC Physical Therapist CurrentSince May 16, 2021 Accepting new patients

Locations

5840 Banneker Rd
Ste 230
Columbia, MD 21044
Phone (410) 884-0000

Organizations & group practices 1

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1306429253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 BANNEKER RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443116",
            "telephone_number": "410-884-0003",
            "fax_number": "410-884-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 BANNEKER RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443116",
            "telephone_number": "410-884-0003",
            "fax_number": "410-884-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BROOKE",
        "middle_name": "MAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.