Individual provider Active NPI

Carol Ann Halligan, PT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1376107169
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15373 Issued in MD
Practice address
800 Southerly Rd
Towson, MD 21286-8403
Phone
(410) 339-6200
Fax
(410) 339-6060
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 15373 MD Primary

Addresses

Primary practice location

800 Southerly Rd
Towson, MD 21286-8403

Mailing address

PO Box 680
Riderwood, MD 21139-0680
Phone (937) 602-3501

Other identifiers 1

IdentifierTypeStateIssuer
15373MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112000656 DE Practitioner - Physical Therapist in Private Practice 2264966407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annabelle McWhite LLCGroup PAC ID 5092193664, 2 clinicians

Practice addresses (Care Compare)

699 Bethany Loop
Unit 3
Bethany Beach, DE 19930-9035
Phone (302) 616-3651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15373MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annabelle McWhite LLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Assisted Rehab. Incorporated Physical Therapist PastSince Aug 17, 2025 Accepting new patients

Locations

699 Bethany Loop
Unit 3
Bethany Beach, DE 19930
Phone (302) 616-3651

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1376107169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "RIDERWOOD",
            "state": "MD",
            "postal_code": "211390680",
            "telephone_number": "937-602-3501",
            "fax_number": "214-305-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTHERLY RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868403",
            "telephone_number": "410-339-6200",
            "fax_number": "410-339-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIGAN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15373",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.