Individual provider Active NPI

Courtney Lauren Twilley, DPT

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1902935356
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22156 Issued in MD
Practice address
401 Marvel CT
Easton, MD 21601-4048
Phone
(410) 820-4449
Fax
(410) 820-4330
NPI assigned
Mar 3, 2007
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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 J1-0002361 DE
Physical Therapist 225100000X 22156 MD Primary

Addresses

Primary practice location

401 Marvel CT
Easton, MD 21601-4048

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070615000484 MD Practitioner - Physical Therapist in Private Practice 3577662519 Reassigns benefits to 2 organizations
I20200615002994 DC Practitioner - Physical Therapist in Private Practice 3577662519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Milford St
Suite 601
Salisbury, MD 21804-6938
Phone (410) 548-7600

598 Cynwood Dr
Suite 101
Easton, MD 21601-3875
Phone (410) 770-9720

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
71.58
Improvement activities
40
Cost
69.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002361DEMDPhysical Therapist
22156MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Konlian,O'Neill & Associates, P.a. Physical Therapist Current Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients

Locations

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

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

401 Marvel Ct
Easton, MD 21601
Phone (410) 820-4449

598 Cynwood Dr
Ste 101
Easton, MD 21601
Phone (410) 770-9720

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

106 Milford St
Ste 601
Salisbury, MD 21804
Phone (410) 548-7600

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

Organizations & group practices 4

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1902935356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014048",
            "telephone_number": "410-820-4449",
            "fax_number": "410-820-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLEY",
        "first_name": "COURTNEY",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002361",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.