Individual provider Active NPI

Deepali Madaan Grover, PT, MPT

  • Physical Therapist
  • White Hall, MD
National Provider Identifier
1689020869
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25739 Issued in MD
Practice address
4105 Norrisville Rd Unit 7
White Hall, MD 21161-9308
Phone
(410) 692-2941
Fax
(410) 692-6073
NPI assigned
May 6, 2016
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 25739 MD Primary

Addresses

Primary practice location

4105 Norrisville Rd Unit 7
White Hall, MD 21161-9308

Mailing address

PO Box 179
Forest Hill, MD 21050-0179
Phone (410) 692-2941

Other practice location 1

3486B Emmorton Rd
Abingdon, MD 21009-2016
Phone (443) 512-0423

Other names 1

  • Deepali Madaan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525001978 MD Practitioner - Physical Therapist in Private Practice 5799074167 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25739MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince May 2, 2016 Accepting new patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince May 2, 2016 Accepting new patients

Locations

3486B Emmorton Rd
Abingdon, MD 21009
Phone (443) 512-0423

2103 Laurel Bush Rd
Ste C
Bel Air, MD 21015
Phone (410) 569-2626

2304 E Churchville Rd
Bel Air, MD 21015
Phone (410) 734-6556

6 Barnes Corner Rd
Colora, MD 21917
Phone (410) 658-6616

3938 Conowingo Rd
Darlington, MD 21034
Phone (410) 457-2930

216 Mountain Rd
Fallston, MD 21047
Phone (410) 877-0222

12 Newport Dr
Ste A
Forest Hill, MD 21050
Phone (410) 838-6808

7468 Candlewood Rd
Ste H3
Hanover, MD 21076
Phone (410) 684-5642

1035 Pulaski Hwy
Ste 107A
Havre de Grace, MD 21078
Phone (443) 843-1003

1411 S Mountain Rd
Joppa, MD 21085
Phone (410) 676-6767

5301 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-9800

12 Mount Carmel Rd
Parkton, MD 21120
Phone (410) 357-0070

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

1388 Progress Way
Sykesville, MD 21784
Phone (410) 552-9996

4105 Norrisville Rd
Unit 7
White Hall, MD 21161
Phone (410) 692-2941

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1689020869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500179",
            "telephone_number": "410-692-2941",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 NORRISVILLE RD UNIT 7",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619308",
            "telephone_number": "410-692-2941",
            "fax_number": "410-692-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3486B Emmorton Rd",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210092016",
            "country_code": "US",
            "telephone_number": "443-512-0423",
            "fax_number": "443-512-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "DEEPALI",
        "middle_name": "MADAAN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPALI",
            "last_name": "MADAAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.