Red Canyon, Llc - Medicare Physical Therapist in Frederick, MD

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Red Canyon, Llc is a medicare enrolled "Physical Therapist" provider in Frederick, Maryland. Their current practice location is 801 Toll House Ave, Suite H-3, Frederick, Maryland. You can reach out to their office (for appointments etc.) via phone at (240) 575-9260.

Red Canyon, Llc is licensed to practice in NU (license number ) and it also participates in the medicare program. Red Canyon, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952768673.

Contact Information

Red Canyon, Llc
801 Toll House Ave, Suite H-3,
Frederick, MD 21701-4564
(240) 575-9260
(240) 575-9380

Map and Direction




Healthcare Provider's Profile

Full NameRed Canyon, Llc
TypeFacility
SpecialityPhysical Therapist
Location801 Toll House Ave, Frederick, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952768673
  • Provider Enumeration Date: 01/26/2016
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052618352
  • Enrollment ID: O20160331002359

Medical Identifiers

Medical identifiers for Red Canyon, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952768673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Red Canyon, Llc acts as a billing entity for following providers:
Provider NameBrian Weisman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992711634
PECOS PAC ID: 0840254959
Enrollment ID: I20060823000597
Provider NameSarah Falvey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912055351
PECOS PAC ID: 9739282039
Enrollment ID: I20070306000685
Provider NameMaria L Caccamise
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275833535
PECOS PAC ID: 5092994855
Enrollment ID: I20110125001080
Provider NameBrittany Bull
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699020016
PECOS PAC ID: 4183873144
Enrollment ID: I20121008000007
Provider NameDexter Te
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780610188
PECOS PAC ID: 0446407431
Enrollment ID: I20150803000423
Provider NameMatthew Rosewag
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659820934
PECOS PAC ID: 1254619539
Enrollment ID: I20161021000773
Provider NameMax Mccloskey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225696297
PECOS PAC ID: 4183959968
Enrollment ID: I20190716003065
Provider NameMorgan Creehan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790362846
PECOS PAC ID: 1153730148
Enrollment ID: I20210504000067
Provider NameJennifer Alicia Alcott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235868316
PECOS PAC ID: 0648659268
Enrollment ID: I20220628000519
Provider NameNicholas Contardi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285203588
PECOS PAC ID: 4880061324
Enrollment ID: I20221114000203
Provider NameHeidi Johnston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437508827
PECOS PAC ID: 9234425695
Enrollment ID: I20230420000055
Provider NameSeungye Jeon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063835494
PECOS PAC ID: 3577835982
Enrollment ID: I20231006002040
Provider NameBrittany Benachowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992560742
PECOS PAC ID: 1850736620
Enrollment ID: I20240302000215
Provider NameAmanda Crecelius
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740916329
PECOS PAC ID: 3870933179
Enrollment ID: I20240503001315
Provider NameRowan Bennett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457230369
PECOS PAC ID: 2365945201
Enrollment ID: I20250915002489
Provider NameDerek Lee Ivey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447182845
PECOS PAC ID: 7113499039
Enrollment ID: I20260611002532
Provider NameFabian Lopez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326851437
PECOS PAC ID: 3779085113
Enrollment ID: I20260625003603

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Red Canyon, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Red Canyon, Llc
200 Business Center Dr,
Reisterstown, MD 21136-1230

Ph: (443) 416-7949		Red Canyon, Llc
801 Toll House Ave, Suite H-3,
Frederick, MD 21701-4564

Ph: (240) 575-9260

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.