Active NPI
Kevin Duffus, MSPT, CSCS, CERT MDT
- Physical Therapist
- Cambridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP032776T
- Practice address
- 321 Dorchester Ave Ste B
Cambridge, MD 21613-2425 - Phone
- (410) 228-5100
- NPI assigned
- Jun 9, 2006
- Last updated
- Aug 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 3
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
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 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA05548 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | 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
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.
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DC
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dba Pivot Physical Therapy of Maryland
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- NPI 1720445174
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- NPI 1699590265
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- NPI 1104376680
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-
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- Parsippany, NJ
- NPI 1386176535
Physical Therapist
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
- Dr. William E. Bair LLC
- Margaret Elizabeth Dressel
- Christina Marie Drostin, MD
- Brittany Denise Duckworth, LCSW-C
- Patti R Dudley, LCSW-C
- Caitlyn Kristie Dunn
- David E Eakin, DO
- Eastern Shore Area Health Education Center
- Eastern Shore Emergency Medicine Physicians, LLC
- Eastern Shore Hospital Center/Physician Group
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.