Individual provider Active NPI

Robert Francis Feehley, P.T.

  • Orthopedic Physical Therapist
  • Baltimore, MD
National Provider Identifier
1639185069
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
16255 Issued in MD
Practice address
8813 Waltham Woods Rd
Suit 103
Baltimore, MD 21234-2450
Phone
(410) 882-9999
Fax
(410) 665-7342
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 16255 MD
Sports Physical Therapist 2251S0007X 16255 MD
Orthopedic Physical Therapist 2251X0800X
Orthopedic Physical Therapist 2251X0800X 16255 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd
Suit 103
Baltimore, MD 21234-2450

Mailing address

4807 Bart Allen LN
Baldwin, MD 21013-9769
Phone (410) 817-4697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220001001 MD Practitioner - Physical Therapist in Private Practice 1153389374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Creek Therapy Associates LLCGroup PAC ID 4183536410, 8 clinicians

Practice addresses (Care Compare)

20 Mayo Rd
Suite 205
Edgewater, MD 21037-1442
Phone (410) 956-7868

8813 Waltham Woods Rd
Suite 103
Parkville, MD 21234-2550
Phone (410) 882-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16255MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Geriatrics CurrentSince Jan 19, 2024 Accepting new patients

Locations

20 Mayo Rd
Ste 205
Edgewater, MD 21037
Phone (410) 384-9242

8813 Waltham Woods Rd
Ste 103
Parkville, MD 21234
Phone (410) 812-0170

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1639185069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 BART ALLEN LN",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139769",
            "telephone_number": "410-817-4697",
            "fax_number": "410-817-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD",
            "address_2": "SUIT 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342450",
            "telephone_number": "410-882-9999",
            "fax_number": "410-665-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEHLEY",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MD",
            "license": "16255",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "16255",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "16255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.