Individual provider Active NPI

Rowan Bennett

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1457230369
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30537 Issued in MD
Practice address
801 Toll House Ave Ste H3
Frederick, MD 21701-6117
Phone
(240) 575-9260
NPI assigned
Aug 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 30537 MD Primary

Addresses

Primary practice location

801 Toll House Ave Ste H3
Frederick, MD 21701-6117

Mailing address

801 Toll House Ave Ste H3
Frederick, MD 21701-6117

Other practice location 1

110 Baughmans Ln Ste 160
Frederick, MD 21702-4946
Phone (240) 651-1335

Other practice location 2

9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712
Phone (410) 855-4855

Other practice location 3

3501 John Simmons St Ste A203
Frederick, MD 21704-7964
Phone (301) 882-8382

Other practice location 4

12916 Conamar Dr Ste 103
Hagerstown, MD 21742-2760
Phone (301) 665-3731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915002489 MD Practitioner - Physical Therapist in Private Practice 2365945201 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
Red Canyon LLCGroup PAC ID 1052618352, 11 clinicians

Practice addresses (Care Compare)

801 Toll House Ave
Suite H3
Frederick, MD 21701-6117
Phone (240) 575-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Red Canyon, LLC Physical Therapist Current Accepting new patients
Red Canyon, LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients
Red Canyon, LLC CurrentSince Aug 19, 2025 Accepting new patients
Red Canyon, LLC Physical Therapist PastSince Mar 13, 2022 Accepting new patients

Locations

9093 Ridgefield Dr
Ste 201
Frederick, MD 21701
Phone (301) 696-5595

801 Toll House Ave
Ste H3
Frederick, MD 21701
Phone (240) 575-9260

110 Baughmans Ln
Ste 160
Frederick, MD 21702
Phone (240) 651-1335

12916 Conamar Dr
Ste 103
Hagerstown, MD 21742
Phone (301) 665-3731

3501 John Simmons St
Ste A203
Urbana, MD 21704
Phone (301) 882-8382

Organizations & group practices 4

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1457230369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Baughmans Ln Ste 160",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024946",
            "country_code": "US",
            "telephone_number": "240-651-1335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9093 Ridgefield Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016712",
            "country_code": "US",
            "telephone_number": "410-855-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 John Simmons St Ste A203",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047964",
            "country_code": "US",
            "telephone_number": "301-882-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12916 Conamar Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422760",
            "country_code": "US",
            "telephone_number": "301-665-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ROWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.