RED CANYON, LLC
NPI 1366007338
Clinic/Center - Physical Therapy in Columbia, MD
About Red Canyon, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED CANYON, LLC (NPI 1366007338), doing business as Red Canyon Physical Therapy, is a healthcare organization registered as a physical therapy in Columbia, Maryland and active in the NPI registry since May 2019. The organization lists Daniel James Gardner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red Canyon, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Red Canyon, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
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 Red Canyon, LLC's NPI number?
The NPI number for Red Canyon, LLC is 1366007338. It was assigned to this organization in the NPPES registry on May 6, 2019. The provider is doing business as Red Canyon Physical Therapy.
Where is Red Canyon, LLC located?
Red Canyon, LLC is located at 5500 Knoll North Dr Ste 230, Columbia, MD 21045. The listed phone number is (240) 575-9260.
What is Red Canyon, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Red Canyon, LLC enrolled in Medicare?
Yes. Red Canyon, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Red Canyon, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Red Canyon, LLC. 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 Red Canyon, LLC was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Red Canyon, Llc · NPI 1366007338
Physical Therapy organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since May 6, 2019.
## Identity
- **NPI:** 1366007338 (Entity type: Organization)
- **Enumerated:** May 6, 2019
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Also known as:** Red Canyon Physical Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Daniel Gardner, OWNER
## Practice location
- **Address:** 5500 KNOLL NORTH DR STE 230, Columbia, MD 21045-2362
- **Phone:** (240) 575-9260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366007338) · Data from the CMS NPPES public registry.