KAITLYN GLASS (NPI# 1487210050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487210050 |
| Entity Type | Individual |
| Full Name | KAITLYN GLASS |
| Practice Address |
2765 Jefferson Davis Hwy Ste 203 Stafford VA 22554-8331 |
| Mailing Address |
9918 Killarney Ln Apt 203 Gaithersburg MD 20877-3917 |
| Practice Telephone | 5407202261 |
| Mailing Telephone | 4435363394 |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2019-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2765 JEFFERSON DAVIS HWY STE 203 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356453997 | Dawn Thompson Burgess | Speech-Language Pathologist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2006-08-31 |
| 1902431950 | Stephanie Lee Doggett | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2020-03-10 |
| 1093348963 | Allyson Steffens | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2020-02-19 |
| 1649838939 | Lauren Luttrell | Physical Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-05-31 |
| 1003470105 | Alyson Marie Holt | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-04-24 |
| 1104387372 | Jodie Yea-eun Choi | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-03-28 |
| 1538638200 | Kaitlyn Jo-ann Adams | Speech-Language Pathologist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2018-11-25 |
| 1336618982 | Megan Emma Erb | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2018-11-13 |
| 1861987554 | Kaitlyn Haley | Occupational Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554 | 2018-06-26 |
| 1336637016 | Kathryn Donnan Leary | Speech-Language Pathologist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144758889 | Kristen Michelle Mcbee | Physical Therapist | 2781 Jefferson Davis Hwy, Stafford, VA 22554-8322 | 2017-05-25 |
| 1649838939 | Lauren Luttrell | Physical Therapist | 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554-8331 | 2019-05-31 |
| 1184127250 | Phylicia Olukoju | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2018-03-14 |
| 1346749777 | Catherine Ann Whelen | Physical Therapist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2018-02-12 |
| 1912406620 | Angela C Ellis | Physical Therapist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2018-02-08 |
| 1972018521 | Kayla Lawson | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-12-05 |
| 1275763484 | Jacquelyn Antoinette Sanderson | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-22 |
| 1467682005 | Christine Marie Suarez Azcona | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| 1972733525 | Patricia Pondell | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| 1326278979 | Tammara Lynn Cowley | Physical Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2009-07-16 |
| Find all providers in STAFFORD | ||||
Please comment or provide details below to improve the information on KAITLYN GLASS.
| 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.