Individual provider Active NPI

Mary K Faber, P.T.

  • Physical Therapist
  • Millersville, MD
National Provider Identifier
1831287325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19009 Issued in MD
Practice address
516 Granby CT
Millersville, MD 21108-1332
Phone
(410) 952-4683
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19009 MD Primary

Addresses

Primary practice location

516 Granby CT
Millersville, MD 21108-1332

Mailing address

516 Granby CT
Millersville, MD 21108-1332
Phone (410) 952-4683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000686 VA Practitioner - Physical Therapist in Private Practice 6103902259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rappahannock Foot and Ankle Specialists PLCGroup PAC ID 5991784779, 11 clinicians

Practice addresses (Care Compare)

195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone (540) 371-2724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19009MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Foot & Ankle Specialists, PLC CurrentSince Jul 1, 2017 Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Rappahannock Foot & Ankle Specialist Physical Therapist PastSince Jul 1, 2017 Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 1998 Accepting new patients

Locations

195 Falcon Dr
Fredericksburg, VA 22408
Phone (540) 371-2724

450 Garrisonville Rd
Ste 115
Stafford, VA 22554
Phone (540) 720-0674

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831287325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GRANBY CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081332",
            "telephone_number": "410-952-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GRANBY CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081332",
            "telephone_number": "410-952-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.