Active NPI
Keiocsha Barnes
- Physical Therapist
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30755
- Practice address
- 2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841 - Phone
- (301) 859-3304
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30755 | MD | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other practice location 1
8440 Pitstop ct NW
Concord, NC 28027
Phone (704) 960-1729
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2875 Crain Hwy
Suite 6
Waldorf, MD 20601-2807
Phone (301) 859-3304
2875 Crain Hwy
Suite 6
Waldorf, MD 20601-2841
Phone (301) 859-3304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30755 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Compleat Rehab & Sports Therapy Center | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304
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 and National Provider Directory roles.
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, MD, Physical Therapist
-
- Physical Therapist
- Westminster, MD
- NPI 1518951995
-
- Home Health Agency
- Gastonia, NC
- NPI 1528544681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1699444232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 CRAIN HWY STE 6",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012841",
"telephone_number": "301-859-3304"
}
],
"practiceLocations": [
{
"address_1": "8440 Pitstop ct NW",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28027",
"country_code": "US",
"telephone_number": "704-960-1729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNES",
"first_name": "KEIOCSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30755",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.