Individual provider Active NPI

Rebecca M Moran Petit, DPT

  • Physical Therapist
  • Dunkirk, MD
National Provider Identifier
1760928618
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26239 Issued in MD
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

Updated by the provider on Feb 22, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20170224001432 MD Practitioner - Physical Therapist in Private Practice 5991089625 Reassigns benefits to 1 organization

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
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

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

LicenseStateTypeSpecialty
26239MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 1, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 1, 2022 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.

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.

Verify at the official NPI Registry.