Individual provider Active NPI

Bailey Ryan Ebert, PT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1750120549
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29927 Issued in MD
Practice address
7402 York Rd Ste 104
Towson, MD 21204-7519
Phone
(410) 560-3931
Fax
(410) 560-0877
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 29927 MD Primary

Addresses

Primary practice location

7402 York Rd Ste 104
Towson, MD 21204-7519

Mailing address

7402 York Rd Ste 104
Towson, MD 21204-7519
Phone (410) 560-3931

Other practice location 1

9 Park Center Ct Ste 130
Owings Mills, MD 21117-5623
Phone (410) 560-3931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628001167 MD Practitioner - Physical Therapist in Private Practice 9335683523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Conrad and Renzi, P.a.Group PAC ID 4688639727, 6 clinicians

Practice addresses (Care Compare)

11270 Pepper Rd
Hunt Valley, MD 21031-1202
Phone (443) 441-0630

7402 York Rd
Suite 104
Towson, MD 21204-7519
Phone (410) 560-3931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad & Renzi, P.a. Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Conrad & Renzi, P.a. Past Accepting new patients

Locations

9 Park Center Ct
Ste 130
Owings Mills, MD 21117
Phone (240) 249-3415

7402 York Rd
Ste 104
Towson, MD 21204
Phone (410) 560-3931

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1750120549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 YORK RD STE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047519",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD STE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047519",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Park Center Ct Ste 130",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175623",
            "country_code": "US",
            "telephone_number": "410-560-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERT",
        "first_name": "BAILEY",
        "middle_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.