Kevin Michael McGovern, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16946 Issued in MD

Practice address

4351 Northview Drive
Bowie, MD 20716-2602

Phone

(301) 464-1893

Fax

(301) 464-1824

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Temple University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McGovern Physical Therapy and Performance LLCGroup PAC ID 2567861842, 3 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.

• McGovern Physical Therapy and Performance LLC

  • Physical Therapist
  • Bowie, MD
  • NPI 1306421805

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1891861480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MONROE MANOR RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662216",
            "telephone_number": "410-643-9479",
            "fax_number": "301-464-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 NORTHVIEW DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162602",
            "telephone_number": "301-464-1893",
            "fax_number": "301-464-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S891 0004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "547748 01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leroy Glynn McDonald
• Vesta D McDowell, DPM
• Markus McEaddy, CFO
• Linda J McGee, MD
• McGovern Physical Therapy and Performance LLC
• Mary K. McIndoe, LPC, LCPC
• Hope McKenzie
• Colette McKie
• Jessica McKinnie, LCSW-C, LICSW
• Alanna McKiver

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.