Individual provider Active NPI

Lindsay Mohr Rothermel, PT, DPT

  • Physical Therapist
  • Hunt Valley, MD
National Provider Identifier
1386808822
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22612 Issued in MD
Practice address
11350 Executive Plaza IV Rd Ste LL12
Hunt Valley, MD 21031-8997
Phone
(410) 527-1794
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 22612 MD Primary

Addresses

Primary practice location

11350 Executive Plaza IV Rd Ste LL12
Hunt Valley, MD 21031-8997

Mailing address

11350 Executive Plaza IV Rd Ste LL12
Hunt Valley, MD 21031-8997

Other names 1

  • Dr. Lindsay Anne Mohr Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000010 MD Practitioner - Physical Therapist in Private Practice 4981854437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peake Physical Therapy IncGroup PAC ID 8628216041, 15 clinicians

Practice addresses (Care Compare)

11350 McCormick Rd
Hunt Valley, MD 21031-1002
Phone (410) 527-1794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22612MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peake Physical Therapy Inc Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Rehabilitation Resources of Maryland, Inc. Physical Therapist Past Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

11350 McCormick Rd
#12
Hunt Valley, MD 21031
Phone (410) 527-1794

11350 McCormick Ep 4 Rd
Ste LL12
Hunt Valley, MD 21031
Phone (410) 527-1794

11350 McCormick Rd
Ste LL12
Hunt Valley, MD 21031
Phone (410) 527-1794

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

Organizations & group practices 3

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1386808822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 EXECUTIVE PLAZA IV RD STE LL12",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 EXECUTIVE PLAZA IV RD STE LL12",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318997",
            "telephone_number": "410-527-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERMEL",
        "first_name": "LINDSAY",
        "middle_name": "MOHR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "MOHR",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.