Kinesio Physical Therapy and Sports Rehabilitation, LLC
NPI 1073936407 · Physical Therapist · Severna Park, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kinesio Physical Therapy and Sports Rehabilitation, LLC is a Physical Therapist organization in Severna Park, MD (NPI 1073936407).
Provider details
- NPI number
- 1073936407
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Faith Hagerty, Managing Member(410) 987-5746
- License
- 17817 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-21
- Last updated
- 2014-01-21
Frequently asked questions
- What is Kinesio Physical Therapy and Sports Rehabilitation, LLC's NPI number?
- Kinesio Physical Therapy and Sports Rehabilitation, LLC's National Provider Identifier (NPI) is 1073936407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kinesio Physical Therapy and Sports Rehabilitation, LLC?
- Kinesio Physical Therapy and Sports Rehabilitation, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kinesio Physical Therapy and Sports Rehabilitation, LLC located?
- Kinesio Physical Therapy and Sports Rehabilitation, LLC's practice location on file with NPPES is 821 W Benfield Rd, Severna Park, MD 21146-2220.
- What is Kinesio Physical Therapy and Sports Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kinesio Physical Therapy and Sports Rehabilitation, LLC is (443) 994-2640.
- Does Kinesio Physical Therapy and Sports Rehabilitation, LLC accept Medicare?
- Kinesio Physical Therapy and Sports Rehabilitation, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kinesio Physical Therapy and Sports Rehabilitation, LLC?
- The authorized official listed on Kinesio Physical Therapy and Sports Rehabilitation, LLC's NPPES record is Faith Hagerty, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kinesio Physical Therapy and Sports Rehabilitation, LLC's NPI active?
- Yes — Kinesio Physical Therapy and Sports Rehabilitation, LLC's NPI (1073936407) is active in the NPPES registry as of the last update on 2014-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.