Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Theriault, CRNP

Individual provider Family Nurse Practitioner · NPI 1295107977

Amy Theriault, CRNP is a Nurse Practitioner in North East, Maryland. Qualified in 2015, 11 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

103 Cool Springs Rd
North East, MD 21901-2902
Phone: (410) 322-2265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R165542 (MD)

Record details

NPI number1295107977
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESOctober 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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