Active NPI
Liam Michener
- Physical Therapist
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 13 Western Maryland Pkwy
Hagerstown, MD 21740-6474 - Phone
- (301) 797-9240
- NPI assigned
- Aug 14, 2018
- 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 | Primary |
Addresses
Primary practice location
13 Western Maryland Pkwy
Hagerstown, MD 21740-6474
Mailing address
601 Memory LN
York, PA 17402-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
134 S Grand Ave
Waukesha, WI 53186-6009
601 Memory LN
York, PA 17402-2206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
21030 Frederick Rd
Ste 1038
Germantown, MD 20876
Phone (240) 243-0048
435 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (240) 732-2334
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
625 E Saint Paul Ave
Milwaukee, WI 53202
Phone (414) 223-2727
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 Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1861971467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 WESTERN MARYLAND PKWY",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406474",
"telephone_number": "301-797-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHENER",
"first_name": "LIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.