Individual provider Active NPI

Connie Pritchard, DPT

  • Physical Therapist
  • Edgewater, MD
National Provider Identifier
1669603973
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22990 Issued in MD
Practice address
20 Mayo Rd Ste 105
Edgewater, MD 21037-1439
Phone
(410) 544-2500
Fax
(410) 956-7998
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 22990 MD Primary

Addresses

Primary practice location

20 Mayo Rd Ste 105
Edgewater, MD 21037-1439

Mailing address

20 Mayo Rd Ste 105
Edgewater, MD 21037-1439
Phone (410) 544-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000376 MD Practitioner - Physical Therapist in Private Practice 5698814457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2009
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22990MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince May 4, 2025 Accepting new patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince Mar 18, 2019 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Apr 2, 2016 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Apr 2, 2016 Accepting new patients
Bayside Physical Therapy and Sports Rehabilitation, Inc. Physical Therapist Past Accepting new patients

Locations

757 Frederick Rd
Ste 103
Catonsville, MD 21228
Phone (410) 719-8661

20 Mayo Rd
Ste 105
Edgewater, MD 21037
Phone (410) 544-2500

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

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

Organizations & group practices 5

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1669603973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 105",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371439",
            "telephone_number": "410-544-2500",
            "fax_number": "410-956-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 105",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371439",
            "telephone_number": "410-544-2500",
            "fax_number": "410-956-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "CONNIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.