Individual provider Active NPI

Kevin Duffus, MSPT, CSCS, CERT MDT

  • Physical Therapist
  • Cambridge, MD
National Provider Identifier
1902847049
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032776T Issued in MD
Practice address
321 Dorchester Ave Ste B
Cambridge, MD 21613-2425
Phone
(410) 228-5100
NPI assigned
Jun 9, 2006
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA05548 NJ
Physical Therapist 225100000X CP032776T MD Primary

Addresses

Primary practice location

321 Dorchester Ave Ste B
Cambridge, MD 21613-2425

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other practice location 1

1 Greenwood Ave
suite 100
Montclair, NJ 07042-3617
Phone (973) 746-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040308000747 NJ Practitioner - Physical Therapist in Private Practice 1951299338 Reassigns benefits to 2 organizations
I20240816002766 DC Practitioner - Physical Therapist in Private Practice 1951299338 Reassigns benefits to 1 organization
I20240829000276 MD Practitioner - Physical Therapist in Private Practice 1951299338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

321 Dorchester Ave
Suite B
Cambridge, MD 21613-2425
Phone (410) 228-5100

85 Godwin Ave
Midland Park, NJ 07432-1970
Phone (201) 639-8870

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA05548NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Feb 14, 2025 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Feb 14, 2025 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

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

321 Dorchester Ave
Ste B
Cambridge, MD 21613
Phone (410) 228-5100

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

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

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

1 Greenwood Ave
#11
Montclair, NJ 07042
Phone (973) 746-2424

1 Greenwood Ave
Ste 100
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

68 River Rd
Summit, NJ 07901
Phone (908) 277-0800

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1902847049",
    "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",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DORCHESTER AVE STE B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132425",
            "telephone_number": "410-228-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Greenwood Ave",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423617",
            "country_code": "US",
            "telephone_number": "973-746-2424",
            "fax_number": "973-746-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFUS",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MSPT, CSCS, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA05548",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "CP032776T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.