Individual provider Active NPI

Noah Shrago, PT, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1669157194
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29494 Issued in MD
Practice address
15850 Crabbs Branch Way Ste 120
Rockville, MD 20855-6635
Phone
(301) 421-1125
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 29494 MD Primary

Addresses

Primary practice location

15850 Crabbs Branch Way Ste 120
Rockville, MD 20855-6635

Mailing address

PO Box 356
Burtonsville, MD 20866-0356
Phone (301) 421-1125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000413 MD Practitioner - Physical Therapist in Private Practice 4082073309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCPT LLCGroup PAC ID 2264872928, 7 clinicians

Practice addresses (Care Compare)

2470 Longstone LN
Suite a
Marriottsville, MD 21104-1516
Phone (410) 982-6251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29494MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HCPT LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients

Locations

2470 Longstone Ln
Ste A
Marriottsville, MD 21104
Phone (410) 982-6251

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, 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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1669157194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208660356",
            "telephone_number": "301-421-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 CRABBS BRANCH WAY STE 120",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556635",
            "telephone_number": "301-421-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRAGO",
        "first_name": "NOAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.