Individual provider Active NPI

Kathryn Stratton McKearney Hettiger, DPT

  • Physical Therapist
  • Mount Airy, MD
National Provider Identifier
1619851490
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30769 Issued in MD
Practice address
1202 Rising Ridge Rd Ste 1
Mount Airy, MD 21771-7519
Phone
(301) 798-4838
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 30769 MD Primary

Addresses

Primary practice location

1202 Rising Ridge Rd Ste 1
Mount Airy, MD 21771-7519

Mailing address

880 Monon Green Blvd Apt 201
Carmel, IN 46032-3363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312002500 MD Practitioner - Physical Therapist in Private Practice 0749763233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

1202 Rising Ridge Rd
Suite 1
Mount Airy, MD 21771-7519
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30769MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Mar 23, 2026 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Mar 23, 2026 Accepting new patients

Locations

1202 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

Organizations & group practices 2

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1619851490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MONON GREEN BLVD APT 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RISING RIDGE RD STE 1",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717519",
            "telephone_number": "301-798-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTIGER",
        "first_name": "KATHRYN",
        "middle_name": "STRATTON MCKEARNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

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