NPIMap

Organization Active NPI

Proflex Physical Therapy of Maryland, LLC.

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
National Provider Identifier
1558714824
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PROFLEX PHYSICAL THERAPY OF MARYLAND, LLC.
Practice address
3320 Crain Hwy
Waldorf, MD 20603-4850
Phone
(301) 870-7366
Fax
(301) 870-6717
NPI assigned
Jul 21, 2016
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Kathy Heier
Title
Director of Billing
Phone
(301) 932-4785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3320 Crain Hwy
Waldorf, MD 20603-4850

Mailing address

PO Box 791217
Baltimore, MD 21279-1217
Phone (301) 932-4785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160921000205 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416244322 Receives reassigned benefits from 25 practitioners
Practice locations: Chantilly, VA; Clinton, MD; Fairfax, VA; Gaithersburg, MD
O20160921002614 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416244322 Receives reassigned benefits from 19 practitioners
Practice locations: Leonardtown, MD; Lexington Park, MD; Waldorf, MD
O20180313000146 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416244322 Receives reassigned benefits from 11 practitioners
Practice locations: Stafford, VA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3320 Crain Hwy
Waldorf, MD 20603
Phone (301) 870-7366

1051 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 369-4461

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1558714824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791217",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791217",
            "telephone_number": "301-932-4785",
            "fax_number": "301-932-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034850",
            "telephone_number": "301-870-7366",
            "fax_number": "301-870-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFLEX PHYSICAL THERAPY OF MARYLAND, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "HEIER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "301-932-4785"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.