Brent D Rader, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23387 Issued in MD

Practice address

1311 S Main St Ste 301
Mount Airy, MD 21771-5464

Phone

(301) 607-9096

Fax

(410) 848-3909

NPI assigned

Aug 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4

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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Physical Therapist
  • Marriottsville, MD
  • NPI 1760158612
  NPD
• Nisenfeld & Chilton, M.D., P.a.

  • Specialist
  • Frederick, MD
  • NPI 1588634570
  NPD

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1962717629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 301",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715464",
            "telephone_number": "301-607-9096",
            "fax_number": "410-848-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 301",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715464",
            "telephone_number": "301-607-9096",
            "fax_number": "410-848-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "BRENT",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.rader.1@3812.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "86 Thomas Johnson Ct",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Elizabeth Polichene, DC
• Michelle Leigh Presley, RPH
• Katharine A Price, M.D.
• Ashley Pullum, M.S.ED, BCABA
• Katie Quader
• Jyothi Rao-Mahadevia, M.D.
• Sudhir R Rao, M.D.
• Real Gray LLC
• Aparna Reddy
• Timothy S Reineke, PHARMD

• Physical Therapist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.