Individual provider Active NPI

Justin D Waltrous, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Hanover, MD
National Provider Identifier
1679890636
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
D77249 Issued in MD
Practice address
7467 Ridge Rd Ste 140
Hanover, MD 21076-3118
Phone
(410) 768-5050
Fax
(410) 768-8013
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X D77249 MD Primary

Addresses

Primary practice location

7467 Ridge Rd Ste 140
Hanover, MD 21076-3118

Mailing address

7467 Ridge Rd Ste 140
Hanover, MD 21076-3118
Phone (410) 768-5050

Other practice location 1

2635 Riva Rd Ste 108
Annapolis, MD 21401-7430
Phone (410) 768-5050

Other practice location 2

1630 Main St Ste 108
Chester, MD 21619-2792
Phone (410) 768-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, IN, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160201001945 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2961706601 Reassigns benefits to 3 organizations
I20171117001849 DC Practitioner - Internal Medicine 2961706601 Reassigns benefits to 3 organizations
I20260216001945 VA Practitioner - Physical Medicine and Rehabilitation 2961706601 Reassigns benefits to 2 organizations
I20260330002248 IN Practitioner - Physical Medicine and Rehabilitation 2961706601 Reassigns benefits to 2 organizations
I20260605000404 OH Practitioner - Physical Medicine and Rehabilitation 2961706601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (320) 274-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D77249MDMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Nov 1, 2017 Accepting new patients
PA Post Acute Services PC CurrentSince Apr 14, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2017 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2017 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

Organizations & group practices 9

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1679890636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7467 RIDGE RD STE 140",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763118",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7467 RIDGE RD STE 140",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763118",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 Riva Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017430",
            "country_code": "US",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-8013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192792",
            "country_code": "US",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-8013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTROUS",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D77249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.