NPIMap

Individual provider Active NPI

Deanna Fahrman McMullen, DPT

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1598219156
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26385 Issued in MD
Practice address
499 Idlewild Ave Ste 103
Easton, MD 21601-4049
Phone
(443) 537-1297
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26385 MD Primary
Physical Therapist 225100000X DE

Addresses

Primary practice location

499 Idlewild Ave Ste 103
Easton, MD 21601-4049

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9500
Phone (724) 343-4060

Other practice location 1

1140 Blades Farm Rd Ste 201
Denton, MD 21629
Phone (410) 479-3300

Other practice location 2

260 Beiser Blvd
Suite 102
Dover, DE 19904-5773
Phone (302) 741-0200

Other names 1

  • Deanna Fahrman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000112 MD Practitioner - Physical Therapist in Private Practice 6709172398 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist Current Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Shore Orthopedics, Inc Current Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients

Locations

598 Cynwood Dr
Ste 101
Easton, MD 21601
Phone (410) 770-9720

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

125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226

106 Milford St
Ste 601
Salisbury, MD 21804
Phone (410) 548-7600

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 5

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1598219156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519500",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 IDLEWILD AVE STE 103",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014049",
            "telephone_number": "443-537-1297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Blades Farm Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "21629",
            "country_code": "US",
            "telephone_number": "410-479-3300",
            "fax_number": "410-479-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Beiser Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199045773",
            "country_code": "US",
            "telephone_number": "302-741-0200",
            "fax_number": "302-741-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "DEANNA",
        "middle_name": "FAHRMAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26385",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "FAHRMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.