Carissa Nicole Reed, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23835 Issued in MD

Practice address

2130 Priest Bridge Dr Ste 2
Crofton, MD 21114-2457

Phone

(410) 535-9850

Fax

(410) 535-9851

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Care Therapy LLCGroup PAC ID 5799798203, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quality Care Therapy, LLC

  dba Moon Physical Therapy

  • Physical Therapist
  • Honolulu, HI
  • NPI 1700816980
  Medicare reassignment Care Compare group NPD
• Moon Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1326235128
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841566726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 PRIEST BRIDGE DR",
            "address_2": "STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142457",
            "telephone_number": "410-535-9850",
            "fax_number": "410-535-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 PRIEST BRIDGE DR STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142457",
            "telephone_number": "410-535-9850",
            "fax_number": "410-535-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CARISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Alyce Powell, FNP-BC
• Tamela Pratt, DNP, PMHNP-BC
• Prii SL Crofton Opco, LLC (Brightview Crofton)
• Primary Medicine LLC
• Subashri Reddy, M.D.
• Sean Reedy
• Catherine Marie Reilly, RN, FCPI
• Ryan Michael Renner
• Jodie Rich, PHARMD
• Melissa Grace Riddick

• Physical Therapist in Crofton, MD
• Providers in Crofton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.