Individual provider Active NPI

McKenna Jean Wear, DPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1699464560
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7820 Wormans Mill Rd Ste C
Frederick, MD 21701-3037
Phone
(240) 831-7664
Fax
(240) 549-5047
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 Primary

Addresses

Primary practice location

7820 Wormans Mill Rd Ste C
Frederick, MD 21701-3037

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

3300 N Hill Ct
Middletown, MD 21769-8128
Phone (240) 409-7940

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230531000027 MD Practitioner - Physical Therapist in Private Practice 0244697662 Reassigns benefits to 2 organizations
I20230605000000 DC Practitioner - Physical Therapist in Private Practice 0244697662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
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)

4611 Sangamore Rd
Suite G
Bethesda, MD 20816-2547
Phone (240) 802-5199

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

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

State licenses

LicenseStateTypeSpecialty
29378MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

4611 Sangamore Rd
Ste G
Bethesda, MD 20816
Phone (240) 802-5199

22750 Newcut Rd
Ste D1
Clarksburg, MD 20871
Phone (301) 250-2146

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

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

9156 Rothbury Dr
Gaithersburg, MD 20886
Phone (240) 690-7595

21030 Frederick Rd
Ste 1038
Germantown, MD 20876
Phone (240) 243-0048

435 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (240) 732-2334

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

192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400

10060 Darnestown Rd
Rockville, MD 20850
Phone (240) 238-0403

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1699464560",
    "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": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 WORMANS MILL RD STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013037",
            "telephone_number": "240-831-7664",
            "fax_number": "240-549-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 N Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "MD",
            "postal_code": "217698128",
            "country_code": "US",
            "telephone_number": "240-409-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAR",
        "first_name": "MCKENNA",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.