Individual provider Active NPI

Kayla Cummings

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1609347707
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27215 Issued in MD
Practice address
19785 Crystal Rock Dr Ste 311
Germantown, MD 20874-4732
Phone
(301) 540-3529
Fax
(301) 540-3623
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 PT872406 DC
Physical Therapist 225100000X 27215 MD Primary

Addresses

Primary practice location

19785 Crystal Rock Dr Ste 311
Germantown, MD 20874-4732

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

1150 18th St NW Ste Ll4
Washington, DC 20036-3839
Phone (202) 897-3991

Other names 1

  • Kayla Loughner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190219001834 DC Practitioner - Physical Therapist in Private Practice 6901144864 Reassigns benefits to 3 organizations
I20200130000580 MD Practitioner - Physical Therapist in Private Practice 6901144864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David L. Higgins, M.D., P.C.Group PAC ID 6204825623, 6 clinicians

Practice addresses (Care Compare)

17904 Georgia Ave
Suite 215
Olney, MD 20832-2277
Phone (301) 232-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27215MDMDClinical Social Worker
PT872406DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
David L. Higgins, M.D., P.C. CurrentSince Mar 12, 2022 Accepting new patients
Virginia Home Therapy LLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients

Locations

1150 18th St NW
Ste LL4
Washington, DC 20036
Phone (202) 775-1777

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

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

19785 Crystal Rock Dr
Ste 311
Germantown, MD 20874
Phone (301) 540-3529

17904 Georgia Ave
Ste 215
Olney, MD 20832
Phone (301) 232-1050

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1609347707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR STE 311",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744732",
            "telephone_number": "301-540-3529",
            "fax_number": "301-540-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 18th St NW Ste Ll4",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363839",
            "country_code": "US",
            "telephone_number": "202-897-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "LOUGHNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.