Active NPI
Audrey B Bershak, PT
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11630
- Practice address
- 2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746 - Phone
- (410) 377-8900
- Fax
- (410) 377-0576
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 11630 | MD | |
| Physical Therapist | 225100000X | 11630 | MD | Primary |
Addresses
Primary practice location
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Mailing address
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone (410) 377-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 Bellona Ave
Lutherville, MD 21093-5400
Phone (410) 377-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Past | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients |
Locations
2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712
4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484
3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Physical Therapy Clinic/Center
- Cambridge, MD
- NPI 1467757575
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hanover, MD
- NPI 1760872709
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1437504875
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1902188485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093746",
"telephone_number": "410-377-8900",
"fax_number": "410-377-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093746",
"telephone_number": "410-377-8900",
"fax_number": "410-377-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERSHAK",
"first_name": "AUDREY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MD",
"license": "11630",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "11630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 4, 2022; 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.