Individual provider Active NPI

Elizabeth Cavanaugh Bellinger, PT, DPT

  • Orthopedic Physical Therapist
  • Baltimore, MD
National Provider Identifier
1912347543
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
24521 Issued in MD
Practice address
3600 Clipper Mill Rd Ste 115
Baltimore, MD 21211-1957
Phone
(443) 961-4546
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 24521 MD Primary

Addresses

Primary practice location

3600 Clipper Mill Rd Ste 115
Baltimore, MD 21211-1957

Mailing address

2502 Ken Oak Rd
Baltimore, MD 21215-4110
Phone (412) 512-9302

Other identifiers 1

IdentifierTypeStateIssuer
24521OtherMDLINCENSE

Other names 1

  • Elizabeth R Cavanaugh-Broad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000238 MD Practitioner - Physical Therapist in Private Practice 9931341542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellinger Rehabilitation P.C.Group PAC ID 2062877160, 5 clinicians

Practice addresses (Care Compare)

3600 Clipper Mill Rd
Suite 115
Baltimore, MD 21211-1957
Phone (443) 961-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24521MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC Orthopedic CurrentSince Nov 22, 2021 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC CurrentSince Nov 22, 2021 Accepting new patients
Bellinger Rehabilitation P.C. Orthopedic CurrentSince Dec 2, 2022 Accepting new patients
Conrad & Renzi, P.a. PastSince Jul 24, 2013 Accepting new patients

Locations

3600 Clipper Mill Rd
Ste 115
Baltimore, MD 21211
Phone (443) 961-4546

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

7801 York Rd
Ste 140
Towson, MD 21204
Phone (410) 337-4024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1912347543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 KEN OAK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154110",
            "telephone_number": "412-512-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 115",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111957",
            "telephone_number": "443-961-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGER",
        "first_name": "ELIZABETH",
        "middle_name": "CAVANAUGH",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "24521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINCENSE",
            "identifier": "24521",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAVANAUGH-BROAD",
            "middle_name": "R",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 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.

Verify at the official NPI Registry.