RED CANYON, LLC
NPI 1407361157
Physical Therapist in Hagerstown, MD

Active since December 04, 2017
12916 CONAMAR DR STE 103, HAGERSTOWN, MD 21742(304) 665-3731(301) 665-3896 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2021, Dec 4, 2017 (2 updates tracked since 2017).

About Red Canyon, Llc NPPES

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

RED CANYON, LLC (NPI 1407361157) is a healthcare organization registered as a physical therapist in Hagerstown, Maryland and active in the NPI registry since December 2017. The organization lists Brian Ira Weisman, Owner, as its authorized official.

NPPES Registry Identity

NPI1407361157
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRED CANYON, LLC
Location Address12916 CONAMAR DR STE 103Hagerstown, MD 21742-2760
Mailing Address200 Business Center DrReisterstown, MD 21136-1230 · (410) 833-3025 · Fax (443) 522-2129
Fax(301) 665-3896
Organization SubpartYes
Authorized OfficialBrian Ira WeismanOwner · (410) 833-3025
Enumeration DateDecember 4, 2017
Last NPPES UpdateApril 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1407361157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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.
12916 CONAMAR DR STE 103, Hagerstown, MD 21742

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)

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

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Red Canyon, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (18)

Physical Therapist in Private Practice
NPI 1992560742
12916 CONAMAR DR STE 103
Hagerstown, MD 21742
(301) 665-3731
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1881281210
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1447182845
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
23 mi
Physical Therapist in Private Practice
NPI 1326851437
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1669804480
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1285203588
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1225696297
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1992711634
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9380
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1457230369
801 TOLL HOUSE AVE STE H3
Frederick, MD 21701
(240) 575-9260
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1437508827
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
(717) 485-6108
✔ Accepts Medicare25 mi
Physical Therapist in Private Practice
NPI 1275833535
435 E RIDGEVILLE BLVD # 11
Mount Airy, MD 21771
(240) 732-2334
✔ Accepts Medicare36 mi
Physical Therapist in Private Practice
NPI 1063835494
211 PERRY PKWY
Gaithersburg, MD 20877
(301) 916-8540
✔ Accepts Medicare45 mi
Physical Therapist in Private Practice
NPI 1740916329
21 CROSSROADS DR STE 330
Owings Mills, MD 21117
(410) 983-9873
✔ Accepts Medicare54 mi
Physical Therapist in Private Practice
NPI 1235868316
910 FREDERICK RD
Catonsville, MD 21228
(410) 644-1880
✔ Accepts Medicare58 mi
Physical Therapist in Private Practice
NPI 1659820934
8186 LARK BROWN RD STE 201
Elkridge, MD 21075
(410) 730-3399
✔ Accepts Medicare59 mi
Physical Therapist in Private Practice
NPI 1780610188
7629 BELAIR RD
Nottingham, MD 21236
(410) 870-2104
✔ Accepts Medicare66 mi
Physical Therapist in Private Practice
NPI 1699020016
1406B CRAIN HWY S SUITE 107
Glen Burnie, MD 21061
(410) 590-2334
✔ Accepts Medicare67 mi
Physical Therapist in Private Practice
NPI 1912055351
6914 HOLABIRD AVE
Baltimore, MD 21222
(410) 284-5441
68 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 Red Canyon, LLC's NPI number?

The NPI number for Red Canyon, LLC is 1407361157. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Red Canyon, LLC located?

Red Canyon, LLC is located at 12916 Conamar Dr Ste 103, Hagerstown, MD 21742. The listed phone number is (304) 665-3731.

What is Red Canyon, LLC's specialty?

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

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, 1 practice at this address. 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.