Headwaters Restoration Therapy LLC
NPI 1154197283 · Nurse Practitioner · Oakland, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Headwaters Restoration Therapy LLC is a Nurse Practitioner organization in Oakland, MD (NPI 1154197283).
Provider details
- NPI number
- 1154197283
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Taylor Crabtree, Provider(304) 777-7467
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-11-29
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Headwaters Restoration Therapy LLC's NPI number?
- Headwaters Restoration Therapy LLC's National Provider Identifier (NPI) is 1154197283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Headwaters Restoration Therapy LLC?
- Headwaters Restoration Therapy LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Headwaters Restoration Therapy LLC located?
- Headwaters Restoration Therapy LLC's practice location on file with NPPES is 14689 Garrett Hwy Ste 3, Oakland, MD 21550-4059.
- What is Headwaters Restoration Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Headwaters Restoration Therapy LLC is (301) 859-7178.
- Does Headwaters Restoration Therapy LLC accept Medicare?
- Headwaters Restoration Therapy 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 Headwaters Restoration Therapy LLC?
- The authorized official listed on Headwaters Restoration Therapy LLC's NPPES record is Taylor Crabtree, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Headwaters Restoration Therapy LLC's NPI active?
- Yes — Headwaters Restoration Therapy LLC's NPI (1154197283) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.