Individual provider Active NPI

Allison Devane Mulhern, SPT

  • Physical Therapist
  • Potomac, MD
National Provider Identifier
1669163986
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30077 Issued in MD
Practice address
10220 River Rd Ste 2
Potomac, MD 20854-4907
Phone
(301) 299-0648
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD
Physical Therapist 225100000X 30077 MD Primary

Addresses

Primary practice location

10220 River Rd Ste 2
Potomac, MD 20854-4907

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other practice location 1

6410 Rockledge Dr Ste 600
Bethesda, MD 20817-1844
Phone (240) 833-7354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240829003891 MD Practitioner - Physical Therapist in Private Practice 1850830191 Reassigns benefits to 1 organization
I20240829004036 DC Practitioner - Physical Therapist in Private Practice 1850830191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

10220 River Rd
Potomac, MD 20854-4916
Phone (301) 299-0648

141 Thomas Johnson Dr
Suite 180
Frederick, MD 21702-4509
Phone (301) 620-7478

3280 Urbana Pike
Suite 202
Ijamsville, MD 21754-9406
Phone (301) 874-2226

5100 Buckeystown Pike
Suite 158
Frederick, MD 21704-8337
Phone (301) 662-6790

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30077MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

10220 River Rd
Ste 2
Potomac, MD 20854
Phone (301) 299-0648

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1669163986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 RIVER RD STE 2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544907",
            "telephone_number": "301-299-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171844",
            "country_code": "US",
            "telephone_number": "240-833-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULHERN",
        "first_name": "ALLISON",
        "middle_name": "DEVANE",
        "name_prefix": "Mrs.",
        "credential": "SPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.