MISS RANDI MICHELLE CLARY (NPI# 1255733929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255733929 |
| Entity Type | Individual |
| Full Name | MISS RANDI MICHELLE CLARY |
| Credential | PT, DPT |
| Practice Address |
2200 Kernan Drive Baltimore MD 21207 |
| Practice Telephone | 4104486318 |
| Mailing Telephone | 4104486318 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
24787 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2200 KERNAN DRIVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426902 | Peta-gay Jackson-booth | Internal Medicine | 2200 Kernan Drive, Baltimore, MD 21207 | 2006-06-16 |
| 1356652721 | Clara Ellen Connor | Nurse Practitioner | 2200 Kernan Drive, James Lawrence Kernan Hospital, Baltimore, MD 21207 | 2010-06-30 |
| 1609192822 | Amy Bankard | Physical Therapist | 2200 Kernan Drive, Kernan Hospital, Baltimore, MD 21207 | 2010-04-13 |
| 1083840524 | Jacob Wynes | Podiatrist | 2200 Kernan Drive, Baltimore, MD 21207 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271431 | Alison Herrera | Physical Therapist | 11 N Eutaw St Apt 401, Baltimore, MD 21201-1794 | 2020-09-24 |
| 1538706338 | Marielle Jean Handley | Physical Therapist | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-11-30 |
| 1083026769 | Anneliese H Massey | Physical Therapist | 5601 Loch Raven Blvd, O'neill Bldg, Second Floor (cors), Baltimore, MD 21239-2945 | 2014-05-29 |
| 1083930481 | Amanda Lynne Krywonis | Physical Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2010-04-12 |
| 1639313729 | Sarah Beth Wright | Physical Therapist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526785 | Kyle Lawrence Jones | Physical Therapist | 12 Medstar Blvd Ste 255, Bel Air, MD 21015-1798 | 2019-12-23 |
| 1851990360 | Breathe Free Physical Therapy & Yoga, LLC | Physical Therapist | 1700 Reisterstown Rd Ste 109, Pikesville, MD 21208-2978 | 2020-10-26 |
| 1033601604 | Naomi Gunter | Physical Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2018-05-30 |
| 1215473368 | Joanna C Steele | Physical Therapist | 115 Sallitt Dr, Suite C, Stevensville, MD 21666-2156 | 2017-01-13 |
| 1316353394 | International Neurorehabilitation Institute | Physical Therapist | 1300 York Rd Bldg A, Suite 300, Lutherville, MD 21093-6016 | 2014-07-10 |
| 1538583646 | To The Core Physical Therapy & Conditioning, LLC | Physical Therapist | 305 W Chesapeake Ave, Suite L20, Towson, MD 21204-4421 | 2014-02-10 |
| 1609000280 | Patricia A Runkles | Physical Therapist | 11110 Medical Campus Rd, Suite201, Hagerstown, MD 21742-6700 | 2009-05-11 |
| 1821252495 | Jasleen Mishra | Physical Therapist | 3202 Tower Oaks Blvd, Suite 280, Rockville, MD 20852-4219 | 2008-07-14 |
| 1861684946 | Denise Bozue | Physical Therapist | 56 W Frederick St, Walkersville, MD 21793-8254 | 2007-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.