Individual provider Active NPI

Kristen Eileen Doane, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1851797716
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25136 Issued in MD
Practice address
3350 Wilkens Ave
Suite 303
Baltimore, MD 21229-4600
Phone
(410) 368-1026
Fax
(410) 368-1047
NPI assigned
Nov 5, 2014
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 25136 MD Primary

Addresses

Primary practice location

3350 Wilkens Ave
Suite 303
Baltimore, MD 21229-4600

Mailing address

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

Other practice location 1

8890 Centre Park Dr Ste 400
Columbia, MD 21045-2170
Phone (410) 884-6000

Other names 1

  • Kristen Eileen McMahon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150723008572 MD Practitioner - Physical Therapist in Private Practice 2466765110 Reassigns benefits to 2 organizations
I20181112000705 DC Practitioner - Physical Therapist in Private Practice 2466765110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen Burnie Physical Therapy and Sportscare LLCGroup PAC ID 0042102592, 25 clinicians

Practice addresses (Care Compare)

8890 Centre Park Dr
Suite 400
Columbia, MD 21045-2170
Phone (410) 884-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25136MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

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

8890 Centre Park Dr
Ste 400
Columbia, MD 21045
Phone (410) 884-6000

14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

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, 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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1851797716",
    "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": "3350 WILKENS AVE",
            "address_2": "SUITE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294600",
            "telephone_number": "410-368-1026",
            "fax_number": "410-368-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8890 Centre Park Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452170",
            "country_code": "US",
            "telephone_number": "410-884-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOANE",
        "first_name": "KRISTEN",
        "middle_name": "EILEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MCMAHON",
            "middle_name": "EILEEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.