Individual provider Active NPI

Branden Smith

  • Physical Therapist
  • Damascus, MD
National Provider Identifier
1861036444
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27778 Issued in MD
Practice address
9815 Main St Ste 206
Damascus, MD 20872-2099
Phone
(301) 253-6761
Fax
(301) 253-6762
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 27778 MD Primary

Addresses

Primary practice location

9815 Main St Ste 206
Damascus, MD 20872-2099

Mailing address

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

Other practice location 1

1207 Liberty Rd Ste 106
Eldersburg, MD 21784-6574
Phone (410) 549-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191204002118 DC Practitioner - Physical Therapist in Private Practice 1153754106 Reassigns benefits to 1 organization
I20191231000278 MD Practitioner - Physical Therapist in Private Practice 1153754106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

1207 Liberty Rd
Suite 106
Eldersburg, MD 21784-6574
Phone (410) 549-5700

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 6, 2019 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Nov 6, 2019 Accepting new patients

Locations

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

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

1207 Liberty Rd
Ste 106
Eldersburg, MD 21784
Phone (410) 549-5600

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

Organizations & group practices 2

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1861036444",
    "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",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 206",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-253-6761",
            "fax_number": "301-253-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Liberty Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846574",
            "country_code": "US",
            "telephone_number": "410-549-5700",
            "fax_number": "410-549-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.