Individual provider Active NPI

Jason C Baynard, M.P.T.

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1417993411
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP056453T Issued in CO
Practice address
1751 Hover St Ste B1
Longmont, CO 80501-7181
Phone
(303) 772-9424
NPI assigned
Jun 20, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP056453T CO Primary
Physical Therapist 225100000X J1-0001760 DE
Physical Therapist 225100000X 20794 MD

Addresses

Primary practice location

1751 Hover St Ste B1
Longmont, CO 80501-7181

Mailing address

401 Marvel CT
Easton, MD 21601-4048
Phone (410) 820-4449

Other practice location 1

401 Marvel Ct
Easton, MD 21601-4053
Phone (410) 820-4449

Other identifiers 9

IdentifierTypeStateIssuer
61734902OtherMDCAREFIRST
810582810OtherMDAETNA
122042OtherMDPRIORITY PARTNERS
810582810OtherMDMAMSI
402631400MedicaidMD
61734905OtherMDCAREFIRST BC/BS MD
810582810OtherMDMDIPA
810582810OtherMDOPTIMUM CHOICE
G5400003OtherMDBLUECHOICE/FEDERAL BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040714001183 MD Practitioner - Physical Therapist in Private Practice 3173502101 Reassigns benefits to 1 organization
I20200615001650 DC Practitioner - Physical Therapist in Private Practice 3173502101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

141 Thomas Johnson Dr
Suite 180
Frederick, MD 21702-4509
Phone (301) 620-7478

25 Main St
Suite a
Reisterstown, MD 21136-1248
Phone (410) 833-8300

401 Marvel CT
Easton, MD 21601-4048
Phone (410) 820-4449

949 Mount Hermon Rd
Salisbury, MD 21804-5105
Phone (410) 543-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20794MDMDPharmacist
CP056453TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Calvert Physical Therapy and Sports Fitness Ctr. Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

321 Dorchester Ave
Ste B
Cambridge, MD 21613
Phone (410) 228-5100

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

401 Marvel Ct
Easton, MD 21601
Phone (410) 820-4449

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

305 10th St
Ste 102
Pocomoke City, MD 21851
Phone (410) 543-9000

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

Organizations & group practices 7

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1417993411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014048",
            "telephone_number": "410-820-4449",
            "fax_number": "410-820-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST STE B1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "303-772-9424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Marvel Ct",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216014053",
            "country_code": "US",
            "telephone_number": "410-820-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYNARD",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP056453T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001760",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "61734902",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "810582810",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "122042",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "810582810",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402631400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS MD",
            "identifier": "61734905",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "810582810",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "810582810",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE/FEDERAL BC/BS",
            "identifier": "G5400003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.