Active NPI
Branden Smith
- Physical Therapist
- Damascus, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Westminster, MD
- NPI 1518951995
DC, MD, Physical Therapist
-
- Physical Therapist
- Westminster, MD
- NPI 1720445174
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.