Individual provider Active NPI

Audrey Mackenzie Foley, PT, DPT

  • Physical Therapist
  • Woodbine, MD
National Provider Identifier
1457223539
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30395 Issued in MD
Practice address
15870 Frederick Rd
Woodbine, MD 21797-8528
Phone
(410) 844-8185
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 30395 MD Primary

Addresses

Primary practice location

15870 Frederick Rd
Woodbine, MD 21797-8528

Mailing address

6411 Montgomery Rd
Elkridge, MD 21075-5919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000530 MD Practitioner - Physical Therapist in Private Practice 5496246605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians

Practice addresses (Care Compare)

15870 Frederick Rd
Woodbine, MD 21797-8528
Phone (410) 844-8185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30395MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Oct 4, 2025 Accepting new patients

Locations

710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847

Organizations & group practices 1

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1457223539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 MONTGOMERY RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 FREDERICK RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978528",
            "telephone_number": "410-844-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "AUDREY",
        "middle_name": "MACKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.