Individual provider Active NPI

Shanice Carrington, DPT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1609413814
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30616 Issued in MD
Practice address
6041 Otterbein LN Apt 406
Ellicott City, MD 21043-7599
Phone
(631) 377-2719
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 045094 NY
Physical Therapist 225100000X 30616 MD Primary

Addresses

Primary practice location

6041 Otterbein LN Apt 406
Ellicott City, MD 21043-7599

Mailing address

6041 Otterbein LN Apt 406
Ellicott City, MD 21043-7599
Phone (631) 377-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200124001698 NY Practitioner - Physical Therapist in Private Practice 3870928658 Reassigns benefits to 1 organization
I20251024000342 DC Practitioner - Physical Therapist in Private Practice 3870928658 Reassigns benefits to 1 organization
I20251113004631 MD Practitioner - Physical Therapist in Private Practice 3870928658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Physical Therapy at Home LLCGroup PAC ID 7012379134, 15 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Columbia, MD 21044
Phone (301) 540-6140

389 Fort Salonga Rd
Northport, NY 11768-3089
Phone (631) 261-0444

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1612
Phone (914) 777-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045094NYMDGeneral Practice Dentistry
30616MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C&M Physical Therapy LLC Physical Therapist Current Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Nov 8, 2019 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Nov 8, 2019 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

157 S Central Ave
Hartsdale, NY 10530
Phone (914) 428-9698

1995 Rte 52
Hopewell Junction, NY 12533

3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580

175 Memorial Hwy
Ste 2
New Rochelle, NY 10801
Phone (914) 235-5354

389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444

57 Old Shore Rd
Port Washington, NY 11050
Phone (516) 464-7959

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800

760 Montauk Hwy
Water Mill, NY 11976
Phone (347) 754-7952

3535 Hill Blvd
Ste P
Yorktown Heights, NY 10598
Phone (914) 962-2728

Organizations & group practices 6

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1609413814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 OTTERBEIN LN APT 406",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437599",
            "telephone_number": "631-377-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 OTTERBEIN LN APT 406",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437599",
            "telephone_number": "631-377-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "SHANICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.