Courtney Frederick, DPT
Individual provider Active NPI Physical Therapist · Silver Spring, MD
NPI 1669840732 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1669840732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25658 (MD)
- Practice address
- 10301 Georgia Ave
Suite 200
Silver Spring, MD 20902-5020 - Phone
- (301) 681-7880
- Fax
- (301) 500-2715
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarion Rehabilitation and Aquatic Therapy LLC
Practice addresses (Care Compare)
499 Mayfield Rd
Ofc 134
Clarion, PA 16214-6101
Phone (814) 226-1356
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170913003116 | PA | Practitioner - Physical Therapist in Private Practice | 4587965322 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25658 | MD | MD | Physical Therapist |
| PT024665 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Clarion Rehabilitation and Aquatic Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
18 Sportsman Dr
Ste 10
Clarion, PA 16214
Phone (814) 226-1355
499 Mayfield Rd
Ste 134
Clarion, PA 16214
Phone (814) 226-1355
499 Mayfield Rd
Ofc 134
Clarion, PA 16214
Phone (814) 226-1355
873 Beaver Dr
Dubois, PA 15801
Phone (814) 503-8361
8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024665 | PA | |
| Physical Therapist | 225100000X | 25658 | MD | Yes |
Addresses
Primary practice location
10301 Georgia Ave
Suite 200
Silver Spring, MD 20902-5020
Mailing address
PO Box 356
Burtonsville, MD 20866-0356
Phone (301) 421-1125
Other providers in Silver Spring, MD
- Karen Ruth Fratantoni
- Wintana Fray
- Sarah Elizabeth Frazell
- Janet Frazier
- Sarah Mulcahy Frechette
- Fredrick a Isaacs MD PC
- Emily Fredrickson
- Susan Jean Freeburn
- Hope Michaelson Freed
- David J Freedman
All providers in Silver Spring, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.