Active NPI
Rebecca M Moran Petit, DPT
- Physical Therapist
- Dunkirk, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26239
- Practice address
- 3140 W Ward Rd Ste 206
Dunkirk, MD 20754-3047 - Phone
- (410) 535-3440
- Fax
- (301) 327-5374
- NPI assigned
- Jan 17, 2017
- 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 | 26239 | MD | Primary |
Addresses
Primary practice location
3140 W Ward Rd Ste 206
Dunkirk, MD 20754-3047
Mailing address
3140 W Ward Rd Ste 206
Dunkirk, MD 20754-3047
Phone (410) 535-3440
Other practice location 1
497 Main St Ste 101
Prince Frederick, MD 20678-3190
Phone (301) 870-7366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3140 W Ward Rd
206 Calvert Ortho and Sports Med PT
Dunkirk, MD 20754-3047
Phone (410) 535-3440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26239 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients |
Locations
3140 W Ward Rd
Ste 206
Dunkirk, MD 20754
Phone (410) 286-7205
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
70 Sherry Ln
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-9844
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Orthopaedic Surgery Physician
- Hagerstown, MD
- NPI 1235577123
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1760928618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 W WARD RD STE 206",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207543047",
"telephone_number": "410-535-3440",
"fax_number": "301-327-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 W WARD RD STE 206",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207543047",
"telephone_number": "410-535-3440",
"fax_number": "301-327-5374"
}
],
"practiceLocations": [
{
"address_1": "497 Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206783190",
"country_code": "US",
"telephone_number": "301-870-7366",
"fax_number": "301-870-6717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN PETIT",
"first_name": "REBECCA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.