Individual provider Active NPI

Meghan Carney Wisniewski, DPT

  • Physical Therapist
  • Reisterstown, MD
National Provider Identifier
1841079183
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29800 Issued in MD
Practice address
25 Main St Ste a
Reisterstown, MD 21136-1248
Phone
(410) 833-8300
NPI assigned
Sep 26, 2023
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 40QA02201400 NJ
Physical Therapist 225100000X 29800 MD Primary

Addresses

Primary practice location

25 Main St Ste a
Reisterstown, MD 21136-1248

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other practice location 1

15630 Old Columbia Pike Ste F
Burtonsville, MD 20866-1617
Phone (240) 559-5270

Other practice location 2

23 Druid Hill Dr
Parsippany, NJ 07054-1453
Phone (973) 650-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, RI, MD, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231018001221 DC Practitioner - Physical Therapist in Private Practice 9133574650 Reassigns benefits to 2 organizations
I20240313000210 RI Practitioner - Physical Therapist in Private Practice 9133574650 Reassigns benefits to 1 organization
I20241014001486 MD Practitioner - Physical Therapist in Private Practice 9133574650 Reassigns benefits to 1 organization
I20250703000015 NJ Practitioner - Physical Therapist in Private Practice 9133574650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Physical Therapy LLCGroup PAC ID 3274859798, 10 clinicians
Chiropractic Works, LLCGroup PAC ID 1951465640, 21 clinicians

Practice addresses (Care Compare)

333 Route 46
Suite 104
Mountain Lakes, NJ 07046-1741
Phone (973) 366-1600

340 Ramapo Valley Rd
Oakland, NJ 07436-2711
Phone (201) 651-9100

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29800MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Pappas Physical Therapy LLC CurrentSince Mar 1, 2024 Accepting new patients
Denville Physical Therapy, LLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Pappas Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

15630 Old Columbia Pike
Ste F
Burtonsville, MD 20866
Phone (240) 559-5270

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

3155 State Route 10
Ste 112
Denville, NJ 07834
Phone (973) 366-1600

333 Route 46
Ste 104
Mountain Lakes, NJ 07046
Phone (973) 366-1600

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1841079183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST STE A",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361248",
            "telephone_number": "410-833-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15630 Old Columbia Pike Ste F",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661617",
            "country_code": "US",
            "telephone_number": "240-559-5270",
            "fax_number": "240-559-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Druid Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541453",
            "country_code": "US",
            "telephone_number": "973-650-2917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "MEGHAN",
        "middle_name": "CARNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02201400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.