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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1356149991
General Practice in Williamsport, MD

Active since March 07, 2025
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795(301) 790-8000 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Practices Of Antietam Llc NPPES

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

MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1356149991) is a healthcare organization registered as a general practice in Williamsport, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356149991
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address16505 VIRGINIA AVEWilliamsport, MD 21795-1321
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 790-8000
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1356149991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

16505 VIRGINIA AVE, Williamsport, MD 21795
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY BROWN MS, CCC-SLP
Speech-Language Pathologist
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (817) 723-6260
KELSEY BUTERBAUGH COTA/L
Occupational Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-5401
PAULA DAWN FOSTER COTA
Occupational Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-5401
KAREN MARIE SCOTT PTA
Physical Medicine & Rehabilitation
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-1750
ELIZABETH ROBERTS
Physical Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-5401
KAYLE BUCHANAN
Physical Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-1750
MISS CARA NICOLE BURGAN PTA
Physical Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 582-1750
MEGAN GUMP
Occupational Therapy Assistant
16505 VIRGINIA AVE
WILLIAMSPORT, MD 21795
Washington County (301) 223-5221

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 Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1356149991. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 16505 Virginia Ave, Williamsport, MD 21795. The listed phone number is (301) 790-8000.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on March 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.