PROACTIVE THERAPY, LLC
NPI 1023040128
Physical Therapist in Baltimore, MD

Active since July 07, 2006
1016 BOOTH ST, BALTIMORE, MD 21223(202) 409-9895(202) 470-0423 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2022, Dec 16, 2016 (2 updates tracked since 2016).

About Proactive Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE THERAPY, LLC (NPI 1023040128) is a healthcare organization registered as a physical therapist in Baltimore, Maryland and active in the NPI registry since July 2006. The organization lists Terrell D. Trent, Owner, as its authorized official.

NPPES Registry Identity

NPI1023040128
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROACTIVE THERAPY, LLC
Location Address1016 BOOTH STBaltimore, MD 21223-2527
Mailing Address1016 Booth StBaltimore, MD 21223-2527 · (202) 409-9895 · Fax (202) 470-0423
Fax(202) 470-0423
Organization SubpartNo
Authorized OfficialTerrell D. TrentOwner · (202) 409-9895
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1023040128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MD · 17825
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 04737 (MD)
1016 BOOTH ST, Baltimore, MD 21223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Proactive Therapy, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Occupational Therapist in Private Practice
NPI 1992898407
3939 PENHURST AVE
Baltimore, MD 21215
(202) 409-9895
✔ Accepts Medicare4.3 mi
Qualified Speech Language Pathologist
NPI 1801915079
1 OLYMPIC PL
Towson, MD 21204
(443) 579-4757
✔ Accepts Medicare8.4 mi
Qualified Speech Language Pathologist
NPI 1477079929
3916 ROXANNE RD
Randallstown, MD 21133
(443) 682-5580
10 mi
Physical Therapist in Private Practice
NPI 1740715168
669 WILBUR SQ
Owings Mills, MD 21117
(973) 336-4599
✔ Accepts Medicare13 mi
Occupational Therapist in Private Practice
NPI 1013503325
3632 WILLOW ST
Hampstead, MD 21074
(443) 540-2323
✔ Accepts Medicare25 mi
Physical Therapist in Private Practice
NPI 1396769329
1875 CANDLELIGHT CT
Owings, MD 20736
(443) 756-3029
✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Therapy, LLC's NPI number?

The NPI number for Proactive Therapy, LLC is 1023040128. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Proactive Therapy, LLC located?

Proactive Therapy, LLC is located at 1016 Booth St, Baltimore, MD 21223. The listed phone number is (202) 409-9895.

What is Proactive Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Proactive Therapy, LLC enrolled in Medicare?

Yes. Proactive Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Proactive Therapy, LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Therapy, LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.