Individual provider Active NPI

Amber Renee Baines, DPT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1508424789
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26574 Issued in MD
Practice address
14700 Baltimore Ave Unit 106
Laurel, MD 20707-4878
Phone
(240) 754-2203
Fax
(240) 754-2204
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X 26754 MD
Physical Therapist 225100000X 26574 MD Primary

Addresses

Primary practice location

14700 Baltimore Ave Unit 106
Laurel, MD 20707-4878

Mailing address

300 Byrn St
Cambridge, MD 21613-1908

Other practice location 1

510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone (410) 820-8226

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190911002892 MD Practitioner - Physical Therapist in Private Practice 5890024160 Reassigns benefits to 4 organizations
I20220517000086 DC Practitioner - Physical Therapist in Private Practice 5890024160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9171 Balt Nat Pike
Suite 120
Ellicott City, MD 21042-3946
Phone (410) 480-3705

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26574MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Mar 16, 2024 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Current Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 16, 2024 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

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

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

9171 Baltimore National Pike
Ste 120
Ellicott City, MD 21042
Phone (410) 480-3705

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

14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203

23 Crossroads Dr
Ste 300
Owings Mills, MD 21117
Phone (410) 998-9133

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

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

1220A E Joppa Rd
Ste 234
Towson, MD 21286
Phone (410) 337-2470

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 8

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1508424789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 BALTIMORE AVE UNIT 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074878",
            "telephone_number": "240-754-2203",
            "fax_number": "240-754-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Idlewild Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013883",
            "country_code": "US",
            "telephone_number": "410-820-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINES",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "MD",
            "license": "26754",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26574",
            "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 May 10, 2022; 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.