Individual provider Active NPI

Ronald Herbst, MPT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1447264718
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18506 Issued in MD
Practice address
13946 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 498-2212
Fax
(301) 498-2213
NPI assigned
Jul 29, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 18506 MD Primary

Addresses

Primary practice location

13946 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

PO Box 4058
Crofton, MD 21114-4058
Phone (301) 498-2212

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071017000709 MD Practitioner - Physical Therapist in Private Practice 6406942754 Reassigns benefits to 2 organizations
I20160225000775 DC Practitioner - Physical Therapist in Private Practice 6406942754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13946 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 498-2212

8757 Mylander LN
Towson, MD 21286-2102
Phone (410) 213-5800

9475 Deereco Rd
Suite 102
Timonium, MD 21093-2124
Phone (410) 308-3543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18506MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Aquatic & Physical Therapy Inc Physical Therapist CurrentSince Feb 29, 2016 Accepting new patients
Baltimore Physical Aquatic & Sports Therapy LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Chesapeake Bay Aquatic & Physical Therapy Inc Physical Therapist Current Accepting new patients
Chesapeake Bay Aquatic & Physical Therapy, Inc Physical Therapist CurrentSince Feb 29, 2016 Accepting new patients
Chesapeake Bay Aquatic & Physical Therapy, Inc CurrentSince Feb 29, 2016 Accepting new patients
Baltimore Physical Aquatic & Sports Therapy LLC CurrentSince Jul 1, 2022 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

100 White Marsh Park Dr
Bowie, MD 20715
Phone (301) 262-5852

13946 Baltimore Ave
Laurel, MD 20707
Phone (301) 262-5852

2 Chartley Dr
Reisterstown, MD 21136
Phone (410) 833-5300

9475 Deereco Rd
Ste 102
Timonium, MD 21093
Phone (410) 308-3543

8757 Mylander Ln
Towson, MD 21286
Phone (410) 213-5800

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1447264718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4058",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144058",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13946 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "RONALD",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.