NPIMap

Organization Active NPI

Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1740165422
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RED CANYON, LLC
Practice address
9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712
Phone
(410) 855-4855
NPI assigned
Aug 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew T Rosewag
Title
PT, Owner
Phone
(410) 730-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712

Mailing address

9093 Ridgefield Dr Ste 201
Frederick, MD 21701-6712

National Provider Directory

National Provider Directory
Tax ID family
Red Canyon LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9093 Ridgefield Dr
Ste 201
Frederick, MD 21701
Phone (301) 696-5595

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1740165422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016712",
            "telephone_number": "410-855-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CANYON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "ROSEWAG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "410-730-3399"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.