SHAWNA RAE SPROUT DPT
NPI 1710519806
Physical Therapist in Middle River, MD
About Shawna Rae Sprout Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNA RAE SPROUT DPT (NPI 1710519806) is an individual physical therapist in Middle River, Maryland, licensed in Maryland (28779) and active in the NPI registry since February 2020. She maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses 2
- 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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shawna Rae Sprout Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shawna Sprout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
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 Shawna Sprout's NPI number?
The NPI number for Shawna Sprout is 1710519806. It was assigned to this individual provider in the NPPES registry on February 7, 2020.
Where is Shawna Sprout located?
Shawna Sprout practices at 1364 Martin Blvd Ste 5, Middle River, MD 21220. The listed phone number is (410) 686-3600.
What is Shawna Sprout's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Shawna Sprout enrolled in Medicare?
Yes. Shawna Sprout is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shawna Sprout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawna Sprout reassigns Medicare benefits to Florida Luna Care Physical Therapy LLC (Jacksonville, FL). The 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 Shawna Sprout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shawna Sprout was last updated on September 24, 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.