Active NPI 1619987955 Individual Practitioner Female Practitioner

Jane Cunningham , PT

Physical Therapist • La Plata, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jane Cunningham, PT is a certified Physical Therapist practicing in La Plata, MD. With approximately 51 years of clinical experience since completing medical education in 1975, Jane Cunningham delivers high-quality medical care to the local community at 101 CENTENNIAL ST.

Jane Cunningham is affiliated with La Plata Physical Therapy and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Centennial St
Suite C

La Plata, MD 20646

Telephone 3013923700

Fax 3013923876

Associated Practice Facility / Clinic

🏢 Laplata Urology Center,llc Facility NPI 1730200155

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in La Plata, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +34.4 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 16.5 Yrs

Regional Practice Density

23 Specialists

Practicing in La Plata, MD (6237 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (51 Years) 51 Yrs

La Plata Specialty Average (16.6 Years) 16.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,308	191	$45.00	$23.07
97140 Therapy procedure using manual technique, each 15 minutes	988	139	$60.00	$20.77
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	730	158	$40.00	$29.41
97530 Therapy procedure using functional activities	660	138	$45.36	$34.11
97113 Therapy procedure using water pool to exercises, each 15 minutes	441	35	$65.88	$28.19
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	211	48	$45.26	$8.89
97116 Walking training to 1 or more areas, each 15 minutes	196	53	$45.00	$22.14
97535 Training for self-care or home management, each 15 minutes	151	123	$35.00	$24.35
97161 Evaluation of physical therapy, typically 20 minutes	119	113	$150.00	$98.87
97164 Re-evaluation for physical therapy, typically 20 minutes	102	79	$100.00	$68.01
97035 Application of ultrasound, each 15 minutes	74	20	$40.00	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	994	205	$45.00	$24.12
97140 Therapy procedure using manual technique, each 15 minutes	853	152	$60.00	$21.56
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	538	162	$40.00	$30.24
97113 Therapy procedure using water pool to exercises, each 15 minutes	508	36	$65.00	$30.42
97530 Therapy procedure using functional activities	329	103	$40.00	$35.95
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	236	63	$45.00	$9.27
97535 Training for self-care or home management, each 15 minutes	141	118	$35.00	$25.15
97116 Walking training to 1 or more areas, each 15 minutes	123	57	$45.00	$22.29
97161 Evaluation of physical therapy, typically 20 minutes	108	104	$150.00	$101.06
97035 Application of ultrasound, each 15 minutes	105	31	$40.00	$11.02
97164 Re-evaluation for physical therapy, typically 20 minutes	70	58	$100.00	$69.73
97162 Evaluation for physical therapy, typically 30 minutes	13	13	$150.00	$102.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,623	209	$45.07	$25.37
97140 Therapy procedure using manual technique, each 15 minutes	1,361	176	$59.35	$22.45
97113 Therapy procedure using water pool to exercises, each 15 minutes	576	35	$65.00	$30.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	563	138	$40.01	$31.15
97530 Therapy procedure using functional activities	545	128	$40.29	$37.73
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	405	82	$45.00	$9.56
97035 Application of ultrasound, each 15 minutes	221	49	$40.18	$11.42
97116 Walking training to 1 or more areas, each 15 minutes	181	63	$44.97	$23.93
97535 Training for self-care or home management, each 15 minutes	138	111	$35.36	$28.02
97161 Evaluation of physical therapy, typically 20 minutes	109	105	$150.00	$105.34
97164 Re-evaluation for physical therapy, typically 20 minutes	69	52	$100.00	$70.97
97162 Evaluation for physical therapy, typically 30 minutes	15	15	$150.00	$99.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,622	260	$45.00	$25.66
97140 Therapy procedure using manual technique, each 15 minutes	2,085	225	$60.00	$22.43
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,052	192	$40.00	$32.16
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	713	112	$45.00	$10.16
97530 Therapy procedure using functional activities	639	136	$40.00	$37.49
97113 Therapy procedure using water pool to exercises, each 15 minutes	555	33	$65.00	$32.02
97116 Walking training to 1 or more areas, each 15 minutes	356	82	$45.00	$23.86
97535 Training for self-care or home management, each 15 minutes	302	192	$35.00	$28.06
97035 Application of ultrasound, each 15 minutes	198	52	$40.00	$11.05
97161 Evaluation of physical therapy, typically 20 minutes	178	159	$150.00	$104.32
97164 Re-evaluation for physical therapy, typically 20 minutes	140	108	$100.00	$71.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,298	171	$45.00	$26.98
97140 Therapy procedure using manual technique, each 15 minutes	1,042	133	$60.00	$23.13
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	362	65	$45.00	$10.62
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	361	88	$40.00	$33.29
97113 Therapy procedure using water pool to exercises, each 15 minutes	329	28	$65.00	$33.08
97530 Therapy procedure using functional activities	321	57	$40.00	$36.66
97116 Walking training to 1 or more areas, each 15 minutes	276	55	$45.00	$24.46
97535 Training for self-care or home management, each 15 minutes	178	114	$35.00	$28.12
97161 Evaluation of physical therapy, typically 20 minutes	118	109	$150.00	$87.45
97164 Re-evaluation for physical therapy, typically 20 minutes	113	84	$100.00	$61.22
97035 Application of ultrasound, each 15 minutes	93	32	$40.00	$11.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,637	195	$45.00	$26.72
97140 Therapy procedure using manual technique, each 15 minutes	1,383	162	$60.00	$22.13
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	740	100	$45.00	$10.67
97116 Walking training to 1 or more areas, each 15 minutes	456	73	$45.00	$24.01
97113 Therapy procedure using water pool to exercises, each 15 minutes	353	30	$65.00	$29.21
97530 Therapy procedure using functional activities	334	66	$40.00	$37.26
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	311	73	$40.02	$32.43
97035 Application of ultrasound, each 15 minutes	209	52	$40.00	$11.01
97535 Training for self-care or home management, each 15 minutes	174	119	$35.00	$27.21
97161 Evaluation of physical therapy, typically 20 minutes	151	143	$150.00	$84.47
97164 Re-evaluation for physical therapy, typically 20 minutes	149	102	$100.00	$58.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,260	205	$45.00	$25.79
97140 Therapy procedure using manual technique, each 15 minutes	1,112	183	$60.00	$22.24
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	571	107	$45.00	$10.83
97113 Therapy procedure using water pool to exercises, each 15 minutes	536	40	$65.00	$30.22
97116 Walking training to 1 or more areas, each 15 minutes	383	76	$45.00	$23.43
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	296	87	$40.00	$31.21
97530 Therapy procedure using functional activities	223	64	$40.00	$35.29
97535 Training for self-care or home management, each 15 minutes	157	102	$35.00	$28.47
97164 Re-evaluation for physical therapy, typically 20 minutes	143	108	$100.00	$57.00
97161 Evaluation of physical therapy, typically 20 minutes	123	113	$150.00	$82.75
97035 Application of ultrasound, each 15 minutes	108	32	$40.00	$10.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,726	338	$45.00	$27.12
97140 Therapy procedure using manual technique, each 15 minutes	3,443	314	$60.00	$23.71
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,825	230	$45.00	$10.25
97113 Therapy procedure using water pool to exercises, each 15 minutes	920	54	$65.00	$32.94
97116 Walking training to 1 or more areas, each 15 minutes	796	109	$45.00	$20.66
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	792	154	$40.03	$28.41
97530 Therapy procedure using functional activities	668	114	$40.00	$30.44
97035 Application of ultrasound, each 15 minutes	575	102	$40.00	$10.06
97164 Re-evaluation for physical therapy, typically 20 minutes	340	218	$100.00	$54.33
97161 Evaluation of physical therapy, typically 20 minutes	247	230	$150.00	$80.72
97535 Training for self-care or home management, each 15 minutes	220	151	$35.00	$28.22
97162 Evaluation for physical therapy, typically 30 minutes	77	76	$150.00	$81.29
97163 Evaluation for physical therapy, typically 45 minutes	11	11	$150.00	$81.39

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MD 15290

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Alliance

336006 (MD)

Commercial Insurance / Payer ID Blue Cross Of Maryland

53485701 (MD)

Commercial Insurance / Payer ID Railroad Medicare

650023076

Commercial Insurance / Payer ID 521983163

TRICARE

Commercial Insurance / Payer ID Blue Cross Blue Shield Dc

T628 0001 (DC)

Commercial Insurance / Payer ID Dept Of Labor

147264000 (MD)

Hospital & Practice Group Affiliations

La Plata Physical Therapy

101 Centennial St, La Plata, MD 206465976

Phone: 3013923700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Alexander Hailemelekot , PHYSICAL THERAPIST

Mechanotherapist

NPI 1285874438

PHYSICALTHERAPIST

Jessica Wallace

Physical Therapist

NPI 1760206460

Annette Dunn , OCCUPATIONAL THERAPI

Specialist

NPI 1760681332

OCCUPATIONALTHERAPI

Dr. Erotokritos Varlas , DPT

Physical Therapist

NPI 1871317503

Doctor of Physical Therapy

Catherine French , PT

Physical Therapist

NPI 1992141683

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2008

Registered at 101 CENTENNIAL ST, SUITE C, LA PLATA, MD 20646 (Tel: 3013923700)

📍

Updated Business Mailing Address September 05, 2008

Registered at P.O. BOX 1732, LA PLATA, MD 20646 (Tel: 3013923700)

👤

Provider Name / Credentials Updated September 05, 2008

Recorded as JANE CUNNINGHAM, P.T.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2008

Physical Therapist (License #15290 in MD)

🟢

Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619987955

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 09, 2006

Last Update: September 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 1732

La Plata, MD 20646

Phone: 3013923700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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