Healthcare Provider Details

I. General information

NPI: 1235053950
Provider Name (Legal Business Name): BRIAN ANDREW NEAVE PT, MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 BAY RIDGE AVE STE 410
ANNAPOLIS MD
21403-3031
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 443-221-7743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30970
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: