US 140 continued along MD 140's modern course all the way to Reisterstown. In the center of Pikesville, the U.S. Highway met Old Court Road at staggered intersections, neither of which were the modern course of the crossroad. Old Court Road heading east, which was part of MD 133, used what is now Walker Avenue to connect with modern Old Court Road; Old Court Road west from US 140 used Naylors Lane. North of Pikesville, the U.S. Highway met the eastern end of MD 400 (Mount Wilson Lane), which led to Mount Wilson State Hospital. US 140 intersected MD 130 (Greenspring Valley Road) and the Greenspring Valley Branch of the Pennsylvania Railroad in Garrison, then passed under the Western Maryland Railway and over Gwynns Falls at Owings Mills. The U.S. Highway met the southern end of MD 30 (Hanover Pike) in the center of Reisterstown, where the highway turned northwest onto Westminster Pike.