Individual provider Active NPI

Keenan Bishop, DPT

  • Physical Therapist
  • Hunt Valley, MD
National Provider Identifier
1427749506
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29434 Issued in MD
Practice address
11350 McCormick Rd Ste LL12
Hunt Valley, MD 21031-1002
Phone
(443) 213-0395
NPI assigned
May 18, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 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 29434 MD Primary

Addresses

Primary practice location

11350 McCormick Rd Ste LL12
Hunt Valley, MD 21031-1002

Mailing address

144 Kettle CT
Windsor Mill, MD 21244-2513

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230623001646 MD Practitioner - Physical Therapist in Private Practice 7012375025 Reassigns benefits to 2 organizations
I20230623002161 DC Practitioner - Physical Therapist in Private Practice 7012375025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29434MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 8, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Consonant Healing Medical Associates Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 8, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 8, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients

Locations

161 Jennifer Rd
Ste A
Annapolis, MD 21401

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste G50
Annapolis, MD 21401
Phone (410) 573-1094

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1427749506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 KETTLE CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE LL12",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "443-213-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KEENAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 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.