Active NPI
Stefanie P Ryan
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16190
- Practice address
- 2200 Kernan Dr
Baltimore, MD 21207-6665 - Phone
- (410) 448-6323
- Fax
- (410) 448-6338
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16190 | MD | Primary |
Addresses
Primary practice location
2200 Kernan Dr
Baltimore, MD 21207-6665
Mailing address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6323
Other practice location 1
844 Washington Rd Ste 101
Westminster, MD 21157-6664
Phone (410) 876-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Main St
Suite a
Reisterstown, MD 21136-1248
Phone (410) 833-8300
844 Washington Rd
Suite 101
Westminster, MD 21157-6664
Phone (410) 876-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16190 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Fall Prevention and Stroke Rehab Physician, LLC | Past | Accepting new patients |
Locations
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
17750 Creamery Rd
Ste B7
Emmitsburg, MD 21727
Phone (301) 447-1670
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
2315 Hanover Pike
Ste G
Hampstead, MD 21074
Phone (410) 374-0925
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
417 E Baltimore St
Ste E
Taneytown, MD 21787
Phone (410) 514-2536
410 Meadow Creek Dr
Ste 106
Westminster, MD 21158
Phone (410) 861-5487
844 Washington Rd
Ste 101
Westminster, MD 21157
2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500
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.
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
DC
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
dba Steady Strides
- Medical Specialty Clinic/Center
- Frederick, MD
- NPI 1922831825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1699091678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 KERNAN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6323",
"fax_number": "410-448-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 KERNAN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212076665",
"telephone_number": "410-448-6323",
"fax_number": "410-448-6338"
}
],
"practiceLocations": [
{
"address_1": "844 Washington Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576664",
"country_code": "US",
"telephone_number": "410-876-5600",
"fax_number": "410-876-1623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "STEFANIE",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.