Active NPI
Deniese Earlene Brock, PT
- Physical Therapist
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24520
- Practice address
- 2225 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6123 - Phone
- (410) 569-0990
- Fax
- (410) 515-0777
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24520 | MD | Primary |
Addresses
Primary practice location
2225 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6123
Mailing address
7403 Brixworth CT Unit 101
Windsor Mill, MD 21244-5670
Phone (302) 750-1785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000041626 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Columbia, MD 21044
Phone (301) 540-6140
5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24520 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| The Maryland Therapy Network, Inc | Physical Therapist | Past | Accepting new patients |
Locations
5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077
10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Columbia, MD
- NPI 1891472684
Physical Therapist
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
- Physical Therapist
- Severna Park, MD
- NPI 1467942847
-
- Physical Therapist
- Washington, DC
- NPI 1811683923
-
- Speech-Language Pathologist
- Bel Air, MD
- NPI 1770611394
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1952383077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7403 BRIXWORTH CT UNIT 101",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212445670",
"telephone_number": "302-750-1785",
"fax_number": "443-316-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 OLD EMMORTON RD STE 210",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156123",
"telephone_number": "410-569-0990",
"fax_number": "410-515-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "DENIESE",
"middle_name": "EARLENE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000041626",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.