Individual provider Active NPI

Kenya Netosha Brent, MPT

  • Physical Therapist
  • Upper Marlboro, MD
National Provider Identifier
1326310483
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19637 Issued in MD
Practice address
9440 Pennsylvania Ave
Suite 215
Upper Marlboro, MD 20772-3659
Phone
(301) 599-8899
NPI assigned
Feb 6, 2012
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 19637 MD Primary

Addresses

Primary practice location

9440 Pennsylvania Ave
Suite 215
Upper Marlboro, MD 20772-3659

Mailing address

9440 Pennsylvania Ave
Suite 215
Upper Marlboro, MD 20772-3659
Phone (301) 599-8899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000237 DC Practitioner - Physical Therapist in Private Practice 6901860154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Pain Associates of Prince Georges County PCGroup PAC ID 5799758850, 17 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 201
Greenbelt, MD 20770-2247
Phone (301) 345-5600

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
100
Promoting interoperability
92
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19637MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physical & Sports Rehab Inc Physical Therapist CurrentSince Sep 1, 2012 Accepting new patients
Arthritis & Pain Associates of Prince Georges County PC Physical Therapist CurrentSince Jan 10, 2020 Accepting new patients
Sports Pro Physical Therapy LLC Physical Therapist PastSince Jul 15, 2008 Accepting new patients
Arthritis & Pain Associates of Prince Georges County PC PastSince Mar 19, 2023 Accepting new patients

Locations

9131 Piscataway Rd
Ste 310
Clinton, MD 20735
Phone (301) 345-5600

7300 Hanover Dr
Ste 201
Greenbelt, MD 20770
Phone (301) 345-5600

1401 Mercantile Ln
Ste 107
Uppr Marlboro, MD 20774
Phone (301) 658-6881

Interoperability endpoints

  • Direct secure messaging: kenyabrent@apapgc.allscriptsdirect.net

Organizations & group practices 4

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1326310483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 PENNSYLVANIA AVE",
            "address_2": "SUITE 215",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-599-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 PENNSYLVANIA AVE",
            "address_2": "SUITE 215",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-599-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "KENYA",
        "middle_name": "NETOSHA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.