Active NPI
Dennis Scott Quackenbush, P.T.
- Physical Therapist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18193
- Practice address
- 187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503 - Phone
- (301) 663-1157
- Fax
- (301) 663-1229
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- 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 | 18193 | MD | Primary |
Addresses
Primary practice location
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
Mailing address
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
Phone (301) 663-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18193 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Hill Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
9701 New Church St
Ste 3
Damascus, MD 20872
Phone (301) 253-0896
187 Thomas Johnson Dr
Ste 6
Frederick, MD 21702
Phone (301) 663-1157
187 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 378-9421
11793 Fingerboard Rd
Ste 101
Monrovia, MD 21770
Phone (240) 529-0175
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1306964606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR",
"address_2": "SUITE 6",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024503",
"telephone_number": "301-663-1157",
"fax_number": "301-663-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 THOMAS JOHNSON DR",
"address_2": "SUITE 6",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024503",
"telephone_number": "301-663-1157",
"fax_number": "301-663-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACKENBUSH",
"first_name": "DENNIS",
"middle_name": "SCOTT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18193",
"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 Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.