ANNAPOLIS CHILDREN'S THERAPY CENTER LLC (NPI# 1831745918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831745918 |
| Entity Type | Organization |
| Organization Name | ANNAPOLIS CHILDREN'S THERAPY CENTER LLC |
| Practice Address |
1413 Annapolis Rd # 101 Odenton MD 21113-1216 |
| Mailing Address |
1911 Lincoln Dr Annapolis MD 21401-4118 |
| Practice Telephone | 4105731064 |
| Mailing Telephone | 4105731064 |
| Mailing Fax Number | 4105731065 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | RENEE MICHELLE HILLMANN PRENTICE (OWNER) |
| Authorized Official Telephone | 4105731064 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1911 Lincoln Dr, Annapolis, MD 214014118 | 4105731064 | 4105731065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578689329 | Annapolis Children's Therapy Center LLC | Occupational Therapist | 1911 Lincoln Drive, Annapolis, MD 21401 | 2007-03-22 |
| Street Address |
1413 ANNAPOLIS RD # 101 |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160002 | Hagerstown Home Care Therapy, Inc. | Physical Therapist | 4640 Wedgewood Blvd Ste 104&105, Frederick, MD 21703-7114 | 2020-06-29 |
| 1619514007 | Nancy Kunes | Physical Therapist | 636 Cider Press Loop, Joppa, MD 21085-5438 | 2019-12-04 |
| 1235692609 | Carol Eileen Folkerts | Physical Therapist | 28 Kenmar Ave, Owings Mills, MD 21117-4131 | 2019-04-11 |
| 1831652858 | Debra Stillman | Physical Therapist | 509 Brook Rd, Towson, MD 21286-5634 | 2019-04-08 |
| 1104383876 | Havala Mckinney | Physical Therapist | 3916 Mcdonogh Rd, Randallstown, MD 21133-3602 | 2019-02-28 |
| 1952868614 | Anna Marie Kraus | Physical Therapist | 8401 Leefield Rd, Parkville, MD 21234-3817 | 2019-02-28 |
| 1316418676 | Nita Page Daves | Physical Therapist | 1205 Kingsbury Dr, Mitchellville, MD 20721-2022 | 2018-12-16 |
| 1982173761 | Christine Anne Howard | Physical Therapist | Mcitp, 19190 Olney Mill Road, Olney, MD 20832-1750 | 2018-11-21 |
| 1376076216 | Alexandra Parra | Physical Therapist | 10735 Falls Road, Suite 235, Lutherville, MD 21093-4535 | 2017-04-07 |
| 1538617766 | Barbara Rainier | Physical Therapist | 8723 Windsor Mill Rd, Windsor Mill, MD 21244-1119 | 2016-09-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANNAPOLIS CHILDREN'S THERAPY CENTER LLC.
| 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.