Individual provider Active NPI

Brianne Lesia Maheady, DPT

  • Physical Therapist
  • Abingdon, MD
National Provider Identifier
1679978316
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24083 Issued in MD
Practice address
3465 Box Hill Corporate Center Dr
Suite G
Abingdon, MD 21009-1261
Phone
(410) 569-4806
Fax
(410) 569-5474
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 24083 MD Primary

Addresses

Primary practice location

3465 Box Hill Corporate Center Dr
Suite G
Abingdon, MD 21009-1261

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Brianne L Waldner Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150203000830 MD Practitioner - Physical Therapist in Private Practice 9739404393 Reassigns benefits to 2 organizations
I20180508000886 DC Practitioner - Physical Therapist in Private Practice 9739404393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

12151 Darnestown Rd
Gaithersburg, MD 20878-2205
Phone (301) 591-5109

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

2315 Bel Air Rd
Suite C3
Fallston, MD 21047-2703
Phone (443) 417-2499

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 22, 2014 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 22, 2014 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3491 Merchants Blvd
Ste 108
Abingdon, MD 21009
Phone (443) 625-5370

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009
Phone (410) 569-4806

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

1321 Riverside Pkwy
Ste A2
Belcamp, MD 21017
Phone (443) 327-7449

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

2315 Bel Air Rd
Ste C3
Fallston, MD 21047
Phone (443) 417-2499

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

12151 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 591-5109

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

14190 Baltimore Ave
Ste B
Laurel, MD 20707
Phone (240) 542-5924

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1679978316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 BOX HILL CORPORATE CENTER DR",
            "address_2": "SUITE G",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091261",
            "telephone_number": "410-569-4806",
            "fax_number": "410-569-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHEADY",
        "first_name": "BRIANNE",
        "middle_name": "LESIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "WALDNER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.