Individual provider Active NPI

Courtney J Garrett, DPT

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1619376209
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26621 Issued in MD
Practice address
10 Martin CT # B
Easton, MD 21601-4095
Phone
(410) 822-0308
NPI assigned
Aug 19, 2014
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26621 MD Primary

Addresses

Primary practice location

10 Martin CT # B
Easton, MD 21601-4095

Mailing address

325 Charles Dimmock Pky
Ste 100
Colonial Heights, VA 23834
Phone (804) 526-5888

Other names 1

  • Courtney J Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322002251 MD Practitioner - Physical Therapist in Private Practice 4789804873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Orthopedics, IncGroup PAC ID 8628367885, 29 clinicians

Practice addresses (Care Compare)

510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
71.77
Promoting interoperability
97
Improvement activities
40
Cost
69.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26621MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc CurrentSince Dec 1, 2017 Accepting new patients
Shore Orthopedics, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Shore Health System, Inc Past Accepting new patients

Locations

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

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

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

Interoperability endpoints

  • Direct secure messaging: courtneygarrett@toc.allscriptsdirect.net

Organizations & group practices 3

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1619376209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHARLES DIMMOCK PKY",
            "address_2": "STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN CT # B",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014095",
            "telephone_number": "410-822-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "COURTNEY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MILLER",
            "middle_name": "J",
            "credential": "DPT",
            "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 Mar 14, 2018; 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.